Effectiveness of a transluminal endoscopic fundoplication for the treatment of pediatric gastroesophageal reflux disease

Chen, Stephanie; Jarboe, Marcus D.; Teitelbaum, Daniel H.

doi:10.1007/s00383-011-3028-8

Cited by 24 publications

(7 citation statements)

References 25 publications

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“…Chen et al demonstrated the use of TIF in 11 pediatric patients with average age of 16.5 years and noted a resolution of GERD symptoms in 91% of patients and resolution of reflux on pH probe study on all patients who underwent follow-up testing. 36 However, long-term follow-up of this cohort published 5 years later noted recurrent symptoms in 55% of patients, reintervention in 36%, and resumption of PPI in 82% of patients. 37 Recently, several authors have published the results of TIF combined with hiatal hernia repair.…”

Section: Transoral Incisionless Fundoplicationmentioning

confidence: 70%

Endoscopic Management of Gastroesophageal Reflux Disease

DeLong

Winder

2021

Digestive Disease Interventions

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Gastroesophageal reflux disease (GERD) occurs in up to 20% of the population. Effective management of the condition is essential to reduce both symptoms and the risk for dysplastic changes of esophageal mucosa. Although lifestyle and diet modification and proton-pump inhibitors (PPIs) remain the standard of therapy, approximately 30% of patients experience persistent or recurrent symptoms with this therapy, which has been labeled PPI-refractory GERD. Surgical antireflux procedures have long been the standard therapy for PPI-refractory GERD, but drawbacks include cost and surgical morbidity. Endoscopic techniques for GERD management have been developed over the past 20 years including transoral incisionless fundoplication, the Stretta procedure, and antireflux mucosectomy. This article will review the current literature on each of these endoscopic procedures as well as highlight areas where further research is needed to fully understand the best practices for use of these endoscopic techniques for the management of PPI-refractory GERD.

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Section: Transoral Incisionless Fundoplicationmentioning

confidence: 70%

Endoscopic Management of Gastroesophageal Reflux Disease

DeLong

Winder

2021

Digestive Disease Interventions

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“…Therapeutic endoscopic procedures are rarely indicated and should only be performed in units where there is evidence of experience. The transoral incisionless fundoplication procedure can complement the current surgically and medically available options for children with GERD, especially in complicated patients such as those with neurological impairment [92]. Surgery is indicated when symptoms are life-threatening or when a child beyond the age of 2-3 years is depending on chronic treatment with antiacid medications.…”

Section: Therapeutic Optionsmentioning

confidence: 99%

An updated review on gastro-esophageal reflux in pediatrics

Vandenplas¹,

Hauser

2015

Expert Review of Gastroenterology & Hepatology

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Comprehensive guidelines for the diagnosis and management of gastro-esophageal reflux (GER) and GER disease (GERD) were developed by the European and North American Societies for Pediatric Gastroenterology, Hepatology and Nutrition. GERD is reflux associated with troublesome symptoms or complications. The recognition of GER and GERD is relevant to implement best management practices. A conservative management is indicated in infants with uncomplicated physiologic reflux. Children with GERD may benefit from further evaluation and treatment. Since the publications of the European and North American Societies for Pediatric Gastroenterology, Hepatology and Nutrition guidelines in 2009, no important novelties in drug treatment have been reported. Innovations are mainly restricted to the management of regurgitation in infants. During the last 5 years, pros and cons of multichannel intraluminal impedance have been highlighted. However, overall 'not much has changed' in the diagnosis and management of GER and GERD in infants and children.

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“…The transoral incision-less fundoplication procedure can complement the current surgically and medically available options for children with GERD, especially in complicated patients such as those with neurological impairment [190]. However, complications including hemorrhage emphasize the potential risk of the procedure [190].…”

Section: Surgery and Therapeutic Endoscopic Proceduresmentioning

confidence: 99%

Gastroesophageal Reflux

Vandenplas¹

2015

Textbook of Pediatric Gastroenterology, Hepatology and Nutrition

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Effectiveness of a transluminal endoscopic fundoplication for the treatment of pediatric gastroesophageal reflux disease

Cited by 24 publications

References 25 publications

Endoscopic Management of Gastroesophageal Reflux Disease

Endoscopic Management of Gastroesophageal Reflux Disease

An updated review on gastro-esophageal reflux in pediatrics

Gastroesophageal Reflux

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