Advances in pediatric surgery
- Volume 6 Issue 2
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- Pages.100-105
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- 2000
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- 2635-8778(pISSN)
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- 2635-8786(eISSN)
Surgical Management of Gastroesophageal Reflux Disease
소아 위식도 역류 질환의 외과적 치료
- Kim, Seong-Chul (Division of Pediatric Surgery, University of Ulsan College of Medicine and Asan Medical Center) ;
- Kim, Dae-Yeon (Division of Pediatric Surgery, University of Ulsan College of Medicine and Asan Medical Center) ;
- Kim, Kyung-Mo (Department of Pediatrics, University of Ulsan College of Medicine and Asan Medical Center) ;
- Kim, In-Koo (Division of Pediatric Surgery, University of Ulsan College of Medicine and Asan Medical Center)
- 김성철 (울산대학교 의과대학 외과학교실 소아외과) ;
- 김대연 (울산대학교 의과대학 외과학교실 소아외과) ;
- 김경모 (울산대학교 의과대학 소아과학교실) ;
- 김인구 (울산대학교 의과대학 외과학교실 소아외과)
- Published : 2000.12.30
Abstract
Eleven children with gastroesophageal reflux disease underwent fundoplication. Eight had neurological impairment, two had hiatal hernias and one had a history of esophageal repair for esophageal atresia. The most common and significant symptom was vomiting(81.8 %), followed by recurrent respiratory infections(72.7 %) and failure to thrive(72.7 %). The most common diagnostic tool was 24 hour esophageal pH study, which showed pH less than 4 for more than 10 % of the total recorded time in 6 of 9 patients. Nissen fundoplication was performed in 10 patients. Thal fundoplication was carried out in one patient with esophageal atresia. Stamm gastrostomy was added for nutritional and/or swallowing problem in all 8 patients with neurological impairment. The median follow up period was 13 months. There was one late death of unrelated cause and one recurrence. The quality of life after antireflux surgery was greatly improved. Antireflux surgery should be done if indicated, and a simultaneous gastrostomy considered in a patient with neurological impairment.