Long-Term Quantitative Results following Fundoplication and Antroplasty for Gastroesophageal Reflux and Delayed Gastric Emptying in Children
| Autor: | Milo M. Webber, Ellis C.K Lai, James C.Y. Dunn, Eric W. Fonkalsrud, Marvin E. Ament |
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| Rok vydání: | 1998 |
| Předmět: |
medicine.medical_specialty
Time Factors Randomization Adolescent Fundoplication Gastroenterology Random Allocation Recurrence Internal medicine Pyloric Antrum medicine Humans Child Radionuclide Imaging Plicatura biology Gastric emptying business.industry Esophageal disease Stomach digestive oral and skin physiology Reflux Infant General Medicine medicine.disease biology.organism_classification digestive system diseases Surgery medicine.anatomical_structure Gastric Emptying Evaluation Studies as Topic Child Preschool Concomitant Gastroesophageal Reflux Dumping syndrome business Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 175:27-29 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/s0002-9610(97)00241-9 |
| Popis: | Background: The operative management of children with combined gastroesophageal reflux and delayed gastric emptying is controversial. This study measures the long-term follow-up of gastric emptying in children who have undergone gastroesophageal fundoplication combined with antroplasty. Methods: Fifteen randomly selected children with gastroesophageal reflux and scintigraphically demonstrated delayed gastric emptying underwent fundoplication and antroplasty. Each patient had another gastric emptying scintigraphic study performed an average of 3.6 years postoperation. Results: All patients reported improvement of their symptoms compared with before the operation, and none required further medical therapy for gastroesophageal reflux or experienced dumping syndrome. Eleven of the 15 patients had significant long-term improvement of their gastric emptying postoperatively. The mean percent of isotope meal remaining in the stomach at 90 minutes improved from 72% preoperatively to 40% postoperatively ( P = 0.0005). Conclusions: Gastric emptying in children with gastroesophageal reflux and delayed gastric emptying is significantly improved for several years in three-fourths of patients after fundoplication and antroplasty. Fundoplication and concomitant antroplasty are recommended for symptomatic children with documented gastroesophageal reflux and delayed gastric emptying. |
| Databáze: | OpenAIRE |
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