Laparoscopic Treatment of Gastroesophageal Reflux Disease in Children: How We Do It

被引:2
作者
Till, Holger [1 ]
Esposito, Ciro [2 ]
Escolino, Maria [2 ]
Singer, Georg [1 ]
Gasparella, Paolo [1 ]
Arneitz, Christoph [1 ]
机构
[1] Med Univ Graz, Dept Paediat & Adolescent Surg, Auenbruggerpl 34, A-8036 Graz, Austria
[2] Federico II Univ Naples, Pediat Surg Unit, Naples, Italy
来源
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | 2021年 / 31卷 / 10期
关键词
gastroesophageal reflux disease; children; fundoplication; Nissen; laparoscopy; NISSEN FUNDOPLICATION; ESOPHAGEAL DISSECTION; MOBILIZATION; EXPERIENCE; INFANTS;
D O I
10.1089/lap.2021.0401
中图分类号
R61 [外科手术学];
学科分类号
摘要
Over decades now, laparoscopic Nissen fundoplication represents the treatment of choice for symptomatic children with gastroesophageal reflux disease (GERD) unresponsive to medication. Although the basic principles of Nissen's technique are still essential today, academic studies of long-term results, complications, and patients benefits have fostered distinct modifications. Identification of surgical factors for wrap migration, dysphagia, and recurrent GERD led to recommendations for "short and floppy" wraps with minimal dissection of the phrenoesophageal membranes. This report summarizes up-to-date information from experts in the field on "how to wrap it right" followed by a critical discussion about long-term benefits for children with GERD and future developments of laparoscopic Nissen fundoplication.
引用
收藏
页码:1175 / 1179
页数:5
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