| Autor: |
Snajdauf J; Klinika dĕtské chirurgie FN Motol a 2. LF UK, subkatedra dĕtské chirurgie, IPVZ, Praha., Vyhnánek M, Vondráková L, Jenerál P, Horák J |
| Jazyk: |
čeština |
| Zdroj: |
Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti [Rozhl Chir] 1997 Aug; Vol. 76 (8), pp. 370-3. |
| Abstrakt: |
The authors present their long-term experience with surgical treatment of gastrooesophageal reflux (GER) in childhood. During the period between 1984-1993 they operated 243 children from neonatal age to 18 years. In 241 patients Nissen fundoplication was performed, once Thal's operation and once a modification of Boix-Ochoy's operation. Of 243 children 18 children (7.4%) died without any association with the operation, 5 children were re-operated on account of ileus, 5 developed a dehiscence of the surgical wound, 4 a paraoesophageal hernia and 2 a relapse of the reflux. The most frequent indication for surgery were relapsing bronchopneumonias 71 (29%), apnoe 44 (18%), impaired nutrition and growth 43 (17%), asthma bronchiale 38 (15%), oesophageal stricture 20 (8%), suffocating laryngitis 14 (6%) and incoordinated deglutition (5%). Two hundred and nine patients attended check-up examinations 3-13 years after surgery. 174 children (83%) do not have clinical manifestations of GER and no difficulties with swallowing. 27 children (13%) report marked improvement of the clinical manifestations of GER or slight difficulties when swallowing. Nissen fundoplication was a success in 96% children with GER. The authors recommend Nissen fundoplication for the surgical treatment of GER in child age because the long-term results with this method are favourable. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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