Satisfactory long-term results after Nissen fundoplication
| Autor: | S Refsum, Ragnhild Emblem, C Kristensen, Kristin Bjørnland, Tone Lise Åvitsland |
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| Rok vydání: | 2007 |
| Předmět: |
Parents
medicine.medical_specialty Adolescent medicine.medical_treatment Quality of sleep Fundoplication Nissen fundoplication medicine Postoperative results Humans Child Retrospective Studies Esophageal disease business.industry Medical record Infant General Medicine Long term results medicine.disease Surgery Treatment Outcome surgical procedures operative Patient Satisfaction Child Preschool Atresia Pediatrics Perinatology and Child Health Gastroesophageal Reflux Complication business |
| Zdroj: | Acta Paediatrica. 96:702-705 |
| ISSN: | 1651-2227 0803-5253 |
| Popis: | Background: Complications and unsatisfactory long-term results after antireflux surgery in children have received increased attention. The aim of this study was to report parental assessment of outcome after Nissen fundoplication. Methods: Ninety-three patients operated with primary Nissen fundoplication between 1990 and 2001 were included. Medical records were reviewed, and parents were interviewed for evaluation of postoperative results. Results: Of the 93 children, 51 were neurologically impaired and 14 children had repaired esophageal atresia. Median follow-up time was 6.0 years. Total mortality for the patient population was 13%. Five children died as a complication of the surgery, whereas eight deaths were unrelated to the Nissen fundoplication. Ninety-two percent of the parents reported better well-being of the child after the Nissen fundoplication, and 83% were completely satisfied with the postoperative results. Pulmonary symptoms were reduced in 59%, and quality of sleep improved in 68% of the children. Nine children (10%) had been operated with a redo NF. Conclusion: The majority of parents were satisfied with the long term results of the Nissen fundoplication. |
| Databáze: | OpenAIRE |
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