Laparoscopic surgery for gastroesophageal reflux disease during the first year of life
Détails
ID Serval
serval:BIB_E1E5D2BB0B00
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Laparoscopic surgery for gastroesophageal reflux disease during the first year of life
Périodique
Journal of Pediatric Surgery
ISSN
0022-3468 (Print)
Statut éditorial
Publié
Date de publication
05/2001
Volume
36
Numéro
5
Pages
715-7
Notes
Journal Article --- Old month value: May
Résumé
BACKGROUND: Very few children need gastroesophageal antireflux surgery during their first year of life; hence, no series has been published so far. The authors report their experience in 3 centers. METHODS: From January 1993 to December 1998, 36 infants between 23 days and 13 months of age, suffering from gastroesophageal reflux disease (GERD), underwent surgery by a laparoscopic approach. The patients' weights ranged from 2.4 to 8.5 kg. Preoperative diagnostic studies included esophagograms, manometries, endoscopies, and pH-metries. Fifteen babies (41.6%) had associated anomalies, and 10 (27.7%) were neurologically impaired. Thirty-six laparoscopic fundoplications were performed according to either Toupet's procedure (17 of 36), Rossetti's (10 of 36), Nissen's (8 of 36) or Lortat-Jacob's (1 of 36). Four infants previously had undergone a gastrostomy, whereas 6 needed one during the antireflux procedure. RESULTS: There was no mortality in our series. Three infants (8.3%) had an intraoperative complication: 1 lesion of a diaphragmatic vessel, 1 pneumothorax, and 1 case of severe hiatal hernia requiring conversion to open surgery. During the median follow-up of 22 months, 4 redo procedures were performed (11.1%). CONCLUSIONS: This experience shows the feasibility of laparoscopic fundoplication even in children below 1 year of age. An accurate preoperative diagnostic study is mandatory, because 50% of these patients presented associated anomalies. A long and accurate follow-up is necessary to evaluate long-term results and detect possible complications, which can occur as late as 1 year after surgery. In addition, we believe that redo antireflux surgery is possible by the laparoscopic approach without major difficulties, based on our larger experience with older children.
Mots-clé
Abnormalities, Multiple/diagnosis
Age Factors
Body Weight
Esophagoscopy/adverse effects/*methods
Fundoplication/adverse effects/classification/*methods
Gastroesophageal Reflux/complications/diagnosis/*surgery
Gastroscopy/adverse effects/*methods
Humans
Infant
Infant, Newborn
Recurrence
Reoperation
Retrospective Studies
Time Factors
Treatment Outcome
Pubmed
Web of science
Création de la notice
28/01/2008 10:12
Dernière modification de la notice
20/08/2019 17:05