Laparoscopic Fundoplication in a Child

Schier, Felix; Waldschmidt, J

doi:10.1055/s-2008-1066129

Cited by 13 publications

(3 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although somewhat controversial [4,13,18,21,37,47], division of the short gastric vessels (SGV) is commonly performed to achieve a loose and tension-free Nissen fundoplication [7,13,17,20,24,28,35,36,44,45,47]. Previous studies have compared clipping with sharp division and ultrasonic coagulating shears for SGV division [25,41].…”

mentioning

confidence: 99%

Prospective, randomized trial of bipolar electrosurgery vs ultrasonic coagulation for division of short gastric vessels during laparoscopic Nissen fundoplication

1999

View full text Add to dashboard Cite

The BPCF and HCS appear to be equally efficacious for SGV division during LNF. Judicious application of both energy forms and heightened vigilance for gastric serosal injury are required with use of both the BPCF and HCS in cases of tight gastrosplenic adhesions or short SGVs. The BPCF carries a potential cost advantage over the HCS in the authors' institution. The BMI directly correlates with time required to divide SGVs and total length of LNF.

show abstract

mentioning

confidence: 99%

Prospective, randomized trial of bipolar electrosurgery vs ultrasonic coagulation for division of short gastric vessels during laparoscopic Nissen fundoplication

1999

View full text Add to dashboard Cite

show abstract

“…The feasibility and technical details of laparoscopic fundoplication in children have been discussed by several investigators in recent years(1‐6), but these articles do not include data on the functional assessment of the results after a minimum follow‐up. Collins et al (7) reported equally good results in 60 laparoscopic fundoplications and 60 open procedures; but again, the length of follow‐up was not given, and neither barium contrast study nor pH studies were done if patients were clinically improved.…”

Section: Discussionmentioning

confidence: 99%

Functional Results of Laparoscopic Fundoplication in Children

Tovar,

Olivares,

Diaz

et al. 1998

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

Background:There is no evidence that the results of laparoscopic fundoplication in children match those of the open procedure. In the current report, pre‐ and postoperative function of the antireflux barrier is examined in children having laparoscopic fundoplication for gastroesophageal reflux.Methods:Twenty‐seven patients with gastroesophageal reflux, aged 7.2 ± 4.5 years, were operated on for unremitting gastrointestinal symptoms (n= 24), with respiratory tract disease (n = 11), cystic fibrosis(n = 2), or brain damage (n = 11). Gastrostomy was added in 5 cases. Barium contrast study, pH‐metering, endoscopic examination, and biopsy were performed before and after a median of 19 months (range, 8 to 46) after operation.Results:At diagnosis, 15 of 21 patients had esophagitis that was moderate or severe in 11 (1 with Barrett's esophagus). Symptoms disappeared after fundoplication in all but 2 patients, in whom they became milder. The reflux index decreased from 20.2 ± 20% to 4.9 ± 9% and became normal in all except 4 children (2 with brain damage and 1 with cystic fibrosis). Open repair of the failed wrap was considered necessary in only 1 of them.Conclusions:Laparoscopic fundoplication is as effective as the open procedure (14% overall failure rate). However, the failure rate in neurologic patients (18%) suggests that before reaching conclusions on the benefits of this approach, careful long‐term assessment of the functional results is necessary.

show abstract

“…The term peritoneoscopy was soon replaced by Pediatric Laparoscopy [5,6]. But the first publications of laparoscopic fundoplication in children date from the early nineties [7][8][9].…”

Section: Introductionmentioning

confidence: 99%