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

Autor: Blane, C., Turnage, R., Oldham, K., Coran, A., Blane, C E, Turnage, R H, Oldham, K T, Coran, A G
Předmět:
Zdroj: Pediatric Radiology; Sep1989, Vol. 19 Issue 8, p523-526, 4p
Abstrakt: 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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index