Laparoscopic modified Thal fundoplication for gastroesophageal reflux in a patient with severe scoliosis and sliding esophageal hiatal hernia

Tatekawa, Yukihiro; Kanehiro, Hiromichi; Nakajima, Yoshiyuki

doi:10.1016/j.jpedsurg.2006.06.025

Cited by 7 publications

(3 citation statements)

References 14 publications

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“…The literature search revealed 258 articles, with ten studies meeting the inclusion criteria [1,[9][10][11][12][13][14][15][16][17], as detailed in the flow diagram ( Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

Outcomes of laparoscopic management of hiatus hernia in the pediatric age group: a systematic review

Costa

Saxena

2020

J Ped Endosc Surg

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Purpose This study reviewed outcomes on laparoscopic management of hiatus hernia (HH) in the pediatric age group. Methods MEDLINE/PubMed was reviewed. Studies in patients ≤ 17 years and published in English/Portuguese/Spanish were included, and selected by two reviewers. Data was collected for previous surgery, neurological impairment, type of HH, associated fundoplication, surgical technique, conversions, recurrence, follow-up and mortality. Results are presented as percentages and means. Fisher's Exact Test was used to evaluate categorical variables, and statistical difference was considered when p ≤ 0.05. Results Ten articles with n = 171 met the inclusion criteria. Mean age were 66.1 months (range newborn-17 years) with male predominance (n = 110, 64.3%). Neurological impairment was reported in 10/35 children, but the information was not available for the majority of cases (n = 136; 79.5%). Type-I HH was reported in 15 children, type-II in seven, type-III in eight, and it was not specified in n = 141 (82.5%). Surgical correction was associated with fundoplication in n = 170 (99.4%; n = 99 Nissen, n = 68 Thal, n = 3 not specified). Patch was not used in the majority of cases (n = 167, 97.7%). There were seven conversions (4.1%), five recurrences (2.9%) and no mortality. Complications were reported in n = 27 (15.8%), esophageal stenosis being the most common (n = 24; only five required treatment). Mean follow-up was 19.7 months (range 1-138 months). Conclusions Pediatric reporting on laparoscopic HH management is scarce, and important information is frequently omitted (e.g., neurological impairment, type of HH). The preferred approach is associated with Nissen/Thal fundoplication without patch. Recurrence occurred in less than 3% of the cases, and complications are minor, without mortality.

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“…The literature search revealed 258 articles, with ten studies meeting the inclusion criteria [1,[9][10][11][12][13][14][15][16][17], as detailed in the flow diagram ( Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

Outcomes of laparoscopic management of hiatus hernia in the pediatric age group: a systematic review

Costa

Saxena

2020

J Ped Endosc Surg

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“…When not controlled by pharmacotherapy, this condition requires surgery [11,12]. However, in patients with neuromuscular scoliosis, surgical correction can reduce the intraabdominal pressure, improve postural balance, and reduce the symptoms of gastroesophageal reflux disease (GERD).…”

Section: Introductionmentioning

confidence: 99%

Improvement in Reflux Gastroesophagitis in a Patient with Spinal Muscular Atrophy after Surgical Correction of Kyphoscoliosis: A Case Report

Yang

Kasat

Suh

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Scoliosis, a three-dimensional deformity, has secondary effects on the gastrointestinal system. Reflux gastroesophagitis with hiatus hernia in patients with scoliosis is difficult to manage. We present a patient in whom primary correction of a spinal deformity was associated with resolution of symptoms of reflux. Case Description A 15-year-old girl with severe thoracolumbar kyphoscoliosis visited our scoliosis research institute complaining of back pain, positional imbalance, intermittent respiratory tract infections, and gastrointestinal discomfort such as pain, dysphagia, and heartburn for several years. On preoperative CT, her abdominal organs were in a deviant position, and esophagogastroduodenoscopy revealed severe reflux gastroesophagitis, Los Angeles classification (LA) Grade D, and a sliding hiatus hernia. After kyphoscoliosis correction, the patient's truncal balance and pain improved. Postoperatively, the patient reported abdominal pain and dysphagia that gradually subsided after 3 weeks. At 1 year, the patient had no abdominal complaints secondary to reflux gastroesophagitis, and episodes of recurrent respiratory tract infections were substantially reduced. Postoperative evaluation showed the reflux gastroesophagitis had improved to LA Grade A. Postoperative CT showed the abdominal cavity had expanded and the abdominal organs were more centered. Literature Review The association between scoliosis and reflux gastroesophagitis is well documented. However, the secondary effects of scoliosis correction on gastrointestinal symptoms caused by reflux gastroesophagitis have not been investigated in detail. Purpose and Clinical Relevance This patient illustrates the relationship between spinal deformity and gastrointestinal symptoms. Postural balance correction resulted in the alleviation of reflux gastroesophagitis symptoms secondary to hiatus hernia.

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“…6,7 Interestingly, there are few such reports in the English medical literature from Japan. [8][9][10][11][12][13][14][15][16][17] Furthermore, seven of these ten reports were from the same institute. We review the indications for laparoscopic antirefl ux surgery in infants and children, the procedures available, their effectiveness and complications, and the training required.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic fundoplication for gastroesophageal reflux disease in infants and children

et al. 2010

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The number and types of minimally invasive surgical procedures being performed in children have increased exponentially in the last 15 years. Laparoscopic fundoplication is commonly performed for gastroesophageal reflux disease (GERD), although the population of patients who undergo this procedure is different in adults and children. In Japan, laparoscopic fundoplication has become a standard procedure, even for children with neurological impairment; however, its indications remain controversial. In this article we review the status of laparoscopic antireflux surgery for infants and children, looking at its indications, the procedures available, the complications, and the training required to perform the procedure safely and effectively.

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Laparoscopic modified Thal fundoplication for gastroesophageal reflux in a patient with severe scoliosis and sliding esophageal hiatal hernia

Cited by 7 publications

References 14 publications

Outcomes of laparoscopic management of hiatus hernia in the pediatric age group: a systematic review

Outcomes of laparoscopic management of hiatus hernia in the pediatric age group: a systematic review

Improvement in Reflux Gastroesophagitis in a Patient with Spinal Muscular Atrophy after Surgical Correction of Kyphoscoliosis: A Case Report

Laparoscopic fundoplication for gastroesophageal reflux disease in infants and children

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