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Dramatical recovery of a mechanical ventilatory dependent extremely low birth weight premature infant after Nissen fundoplication.

Abstract
Gastroesophageal reflux disease (GERD) is a well-recognized condition in neonatal period. It is common in preterm infants, clinical spectrum is wide and the management may be difficult. Nissen fundoplication operation is well established as effective treatment for GERD in most children intractable to medical therapy, but its role in neonates is less clear and its effect in premature infants is not well established. Here, we report a case of a premature infant, who had severe respiratory system problems that needed mechanical ventilation despite all medical therapy, and demonstrate dramatical clinical and radiological improvement as a result of Nissen fundoplication surgery.
AuthorsGamze Demirel, Yavuz Yilmaz, Nurdan Uras, Omer Erdeve, Hulya Ozkan Ulu, Serife Suna Oguz, Ugur Dilmen
JournalJournal of tropical pediatrics (J Trop Pediatr) Vol. 57 Issue 6 Pg. 484-6 (Dec 2011) ISSN: 1465-3664 [Electronic] England
PMID21252395 (Publication Type: Case Reports, Journal Article)
Topics
  • Fundoplication
  • Gastroesophageal Reflux (diagnosis, surgery)
  • Humans
  • Infant, Extremely Low Birth Weight
  • Infant, Newborn
  • Infant, Premature
  • Infant, Premature, Diseases (surgery)
  • Male
  • Respiration, Artificial

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