The current role of laparoscopic surgery for gastroesophageal reflux disease in infants and children
Autor: | T. E. Lobe |
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Rok vydání: | 2006 |
Předmět: |
Laparoscopic surgery
medicine.medical_specialty Pediatrics Adolescent medicine.medical_treatment Fundoplication Disease Risk Assessment Severity of Illness Index Postoperative Complications Internal medicine medicine Humans Minimally Invasive Surgical Procedures Child business.industry Esophageal disease Incidence Reflux Age Factors Infant Newborn Infant Proton Pump Inhibitors Hepatology medicine.disease digestive system diseases Surgery Treatment Outcome El Niño Histamine H2 Antagonists Child Preschool GERD Gastroesophageal Reflux Laparoscopy business Infant Premature Abdominal surgery Follow-Up Studies |
Zdroj: | Surgical endoscopy. 21(2) |
ISSN: | 1432-2218 |
Popis: | The benefits of surgery for gastroesophageal reflux disease (GERD) in infants and children have been questioned in the recent literature. The goal of this review was to determine the best current practice for the diagnosis and management of this disease.The literature was reviewed for all recent English language publications on the management of GERD in 8- to 10-year-old patients.In infants and children, GERD has multiple etiologies, and an understanding of these is important for determining which patients are the best surgical candidates. Proton pump inhibitors (PPIs) have become the mainstay of current treatment for primary GERD. Although laparoscopic surgery appears to be better than open surgery, there remains some morbidity and complications that careful patient selection can minimize.Surgery for GERD should be performed only after failure of medical management or for specific problems that mandate it. |
Databáze: | OpenAIRE |
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