Long-term radiographic follow-up of the Nissen fundoplication in children.

Abstract

This study examined 46 children 5-9 years (mean 6.7) after Nissen fundoplication surgery for gastroesophageal reflux (GER). Eleven were deceased and ten of the 35 families declined objective evaluation. The remaining 25 children (71%) had a barium swallow examination. In 16 of the 25 patients the fundoplication was intact. In 2 patients a small portion of the fundoplication was displaced above the diaphragm. In 5 patients there was residual esophageal disease. In 3 patients (one with esophageal disease), with a hiatus hernia prior to surgery, despite immediate postoperative reduction, the barium swallow examination done for this study revealed recurrent hiatus hernia but no GER. Long-term results of the Nissen fundoplication reveal success in eliminating clinically significant gastroesophageal reflux. Those patients with esophageal disease prior to the surgery need close interval follow-up to monitor continuing problems.

• Authors: C E Blane, R H Turnage, K T Oldham, A G Coran
• Journal: Pediatric radiology (Pediatr Radiol) Vol. 19 Issue 8 Pg. 523-6 ( 1989) ISSN: 0301-0449 [Print] Germany
• PMID: 2797936 (Publication Type: Journal Article)

Topics

• Child
• Child, Preschool
• Esophagus (surgery)
• Follow-Up Studies
• Gastric Fundus (surgery)
• Gastroesophageal Reflux (diagnostic imaging, surgery)
• Humans
• Radiography
• Time Factors