Laparoscopic Nissen fundoplication for reactive airway disease
| Autor: | Paul S. Salva, David B. Tashjian, Kevin P. Moriarty, Michael V. Tirabassi |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Fundoplication Nissen fundoplication Bronchoscopy Humans Medicine Child Retrospective Studies Reactive airway disease medicine.diagnostic_test Plicatura biology business.industry Esophageal disease Infant General Medicine Length of Stay medicine.disease biology.organism_classification Endoscopy Surgery Treatment Outcome Child Preschool Pediatrics Perinatology and Child Health Gastroesophageal Reflux GERD Female Laparoscopy Bronchial Hyperreactivity business Complication |
| Zdroj: | Journal of Pediatric Surgery. 37:1021-1023 |
| ISSN: | 0022-3468 |
| Popis: | Background: Surgical management for gastroesophageal reflux disease (GERD)-induced reactive airway disease in children has been shown to be superior to medical therapy. Laparoscopic Nissen fundoplication is a safe and effective procedure in children. Methods: The authors performed a retrospective review of 24 patients who underwent a laparoscopic Nissen fundoplication for documented GERD and reactive airway disease. Results: Persistent cough was the primary symptom in 22 of 24 patients, and all but one had lipid laden macrophages on bronchoscopy. The mean length of hospital stay was 2.7 days. There were no major postoperative complications. Eighteen of 24 patients are symptom free and off all medications an average of 17 months postoperatively. The average medication burden of the 6 remaining patients was reduced from 6.8 to 2.3 medications. Conclusions: Children with reactive airway disease who do not respond to medical therapy should undergo a workup for GERD. These preliminary results suggest that laparoscopic Nissen fundoplication is a potentially effective treatment for pulmonary manifestations of GERD. J Pediatr Surg 37:1021-1023. Copyright 2002, Elsevier Science (USA). All rights reserved. |
| Databáze: | OpenAIRE |
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