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2015, Number 1

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Rev Mex Cir Pediatr 2015; 19 (1)

Eficacia de la cirugía antirreflujo en pacientes pediátricos con comorbilidades asociadas a reflujo gastroesofágico

Domínguez ZBP, Flores ME, Montes RMI

Language: Spanish
References: 20
Page: 36-42
PDF size: 322.77 Kb.


ABSTRACT

Introduction: Gastroesophageal reflux is a common condition in pediatric population. Those who develop complications know as gastroesophageal reflux disease. Antireflux surgery is the most commonly performed in children, its aim is prevent complications and remission of symptoms. The success rate is 86%.
Material and Methods: retrospective, descriptive study of patients undergoing surgery for gastroesophageal reflux disease, with the aim of identify comorbidities associated with surgical failure.
Results: analysis of 51 procedures in 44 patients. Nissen fundoplication were 37%, 52% fundoplication and gastrostomy; 30 patients are neurological impairment (68%), 13 had fundoplication failure (30%). Reoperation was performed in 7 patients. No statistically significant difference in fundoplication failure in patients with or without neurological impairment.
Discussion: antireflux surgery has a high success rate. It has been observed that 66% had some degree of symptoms. Higher failure rates were reported in patients with comorbidities. The effectiveness of the antireflux surgery is similar in children with or without neurological impairment. The range of failure is on average 18 months and can be functional for up to 2 years.


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