Skip to main content
NCBI home page
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1985 Aug;60(8):743–747. doi: 10.1136/adc.60.8.743

Results and complications of surgery for gastro-oesophageal reflux.

L Spitz, J Kirtane
PMCID: PMC1777436  PMID: 4037858

Abstract

One hundred and six children undergoing antireflux surgery were studied; 41 were severely mentally retarded and 29 had reflux strictures. Although the eventual rate of success was 92%, 20 patients developed complications that required a second operation. Prolapse of the fundoplication into the mediastinum was the commonest complication (in seven patients), followed by intestinal obstruction (in five), and intractable fibrous oesophageal strictures (in five). The incidence of postoperative complications was highest in patients with mental retardation or oesophageal strictures. Referral of these patients for operation was invariably delayed, and earlier referral may have avoided many of the complications.

Full text

PDF
743

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ashcraft K. W., Holder T. M., Amoury R. A., Sharp R. J., Murphy J. P. The Thal fundoplication for gastroesophageal reflux. J Pediatr Surg. 1984 Aug;19(4):480–483. doi: 10.1016/s0022-3468(84)80280-8. [DOI] [PubMed] [Google Scholar]
  2. Ashcraft K. W., Holder T. M., Amoury R. A. Treatment of gastroesophageal reflux in children by Thal fundoplication. J Thorac Cardiovasc Surg. 1981 Nov;82(5):706–712. [PubMed] [Google Scholar]
  3. Berquist W. E., Fonkalsrud E. W., Ament M. E. Effectiveness of Nissen fundoplication for gastroesophageal reflux in children as measured by 24-hour intraesophageal pH monitoring. J Pediatr Surg. 1981 Dec;16(6):872–875. doi: 10.1016/s0022-3468(81)80837-8. [DOI] [PubMed] [Google Scholar]
  4. Bettex M., Kuffer F. Fundoplication in hiatal hernia--results after 10 years. Prog Pediatr Surg. 1977;10:25–31. [PubMed] [Google Scholar]
  5. Bettex M., Kuffer F. Long-term results of fundoplication in hiatus hernia and cardio-esophageal chalasia in infants and children. Report of 112 consecutive cases. J Pediatr Surg. 1969 Oct;4(5):526–530. doi: 10.1016/0022-3468(69)90092-x. [DOI] [PubMed] [Google Scholar]
  6. Dahms B. B., Rothstein F. C. Barrett's esophagus in children: a consequence of chronic gastroesophageal reflux. Gastroenterology. 1984 Feb;86(2):318–323. [PubMed] [Google Scholar]
  7. Festen C. Paraesophageal hernia: a major complication of Nissen's fundoplication. J Pediatr Surg. 1981 Aug;16(4):496–499. doi: 10.1016/s0022-3468(81)80014-0. [DOI] [PubMed] [Google Scholar]
  8. Harnsberger J. K., Corey J. J., Johnson D. G., Herbst J. J. Long-term follow-up of surgery for gastroesophageal reflux in infants and children. J Pediatr. 1983 Apr;102(4):505–508. doi: 10.1016/s0022-3476(83)80174-7. [DOI] [PubMed] [Google Scholar]
  9. Hicks L. M., Christie D. L., Hall D. G., Cahill J. L., Mansfield P. B., Stevenson J. K., Bill A. H. Surgical treatment of esophageal stricture secondary to gastroesophageal reflux. J Pediatr Surg. 1980 Dec;15(6):863–868. doi: 10.1016/s0022-3468(80)80294-6. [DOI] [PubMed] [Google Scholar]
  10. Jolley S. G., Johnson D. G., Herbst J. J., Matlak M. E. The significance of gastroesophageal reflux patterns in children. J Pediatr Surg. 1981 Dec;16(6):859–865. doi: 10.1016/s0022-3468(81)80835-4. [DOI] [PubMed] [Google Scholar]
  11. Kim S. H., Hendren W. H., Donahoe P. K. Gastroesophageal reflux and hiatus hernia in children: experience with 70 cases. J Pediatr Surg. 1980 Aug;15(4):443–451. doi: 10.1016/s0022-3468(80)80751-2. [DOI] [PubMed] [Google Scholar]
  12. Leape L. L., Ramenofsky M. L. Surgical treatment of gastroesophageal reflux in children. Results of Nissen's fundoplication in 100 children. Am J Dis Child. 1980 Oct;134(10):935–938. doi: 10.1001/archpedi.1980.02130220013004. [DOI] [PubMed] [Google Scholar]
  13. O'Neill J. A., Jr, Betts J., Ziegler M. M., Schnaufer L., Bishop H. C., Templeton J. M. Surgical management of reflux strictures of the esophagus in childhood. Ann Surg. 1982 Oct;196(4):453–460. doi: 10.1097/00000658-198210000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Randolph J. Experience with the Nissen fundoplication for correction of gastroesophageal reflux in infants. Ann Surg. 1983 Nov;198(5):579–584. doi: 10.1097/00000658-198311000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Schatzlein M. H., Ballantine T. V., Thirunavukkarasu S., Fitzgerald J. F., Grosfeld J. L. Gastroesophageal reflux in infants and children. Diagnosis and management. Arch Surg. 1979 Apr;114(4):505–510. doi: 10.1001/archsurg.1979.01370280159026. [DOI] [PubMed] [Google Scholar]
  16. Spitz L. Surgical treatment of gastrooesophageal reflux in severely mentally retarded children. J R Soc Med. 1982 Jul;75(7):525–529. doi: 10.1177/014107688207500707. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Tunell W. P., Smith E. I., Carson J. A. Gastroesophageal reflux in childhood. The dilemma of surgical success. Ann Surg. 1983 May;197(5):560–565. doi: 10.1097/00000658-198305000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES