Long‐Term Results of Boerema Anterior Gastropexy in Children

Abstract

In the long term, Boerema anterior gastropexy is an effective operation for complicated GERD in children without underlying disease as well as in neurologically impaired children and patients with esophageal atresia.

Gastrocutaneous fistula and gastrointestinal bleeding due to left superior epigastric artery haemorrhage as a rare complication of anterior gastropexy

“…However, the principles of surgical hernia reduction and repair have evolved, and laparoscopic anterior gastropexy has more recently been considered by some authors to have a role as the primary procedure in the treatment of GERD or hernia complications, as in patients with significant comorbidities,5 6 or even in some paediatric groups 7. Some authors may also see advantages of this additional technique when trying to minimise recurrence rates, when compared with the potential complications associated with mesh hiatoplasty.…”

Wandering Spleen and Organoaxial Gastric Volvulus after Morgagni Hernia Repair: A Case Report and Review of the Literature

“…Regarding the management in cases associated with gastric volvulus, we believe that a contemporary splenopexy and gastropexy should be performed. In fact, gastropexy alone should not be enough to prevent gastric volvulus relapses, as in our case; moreover, a basic tenet of Boerema gastropexy technique, which consists in the fixation of the lesser curvature of the stomach by the placement of sutures, is the preservation of the greater curvature attachments to the spleen so the fundus will fold back against the anteriorly fixed esophagus [ 86 , 87 ]. Also the management of incidental finding of wandering spleen is debated; although some authors consider intervention only as an option in case of painful complications [ 11 ], we recommend splenopexy, in emergency or elective approach, in order to avoid complications (torsion of both the spleen and the stomach, traumatic injuries, and intestinal obstruction) [ 1 , 35 , 36 ].…”