Satisfactory long‐term results after Nissen fundoplication

Abstract

The majority of parents were satisfied with the long term results of the Nissen fundoplication.

Parents reported reduced symptoms and improved satisfaction after fundoplication and their perceptions were an important outcome measure

“…Parents also reported better well-being of neurologically impaired children after fundoplication. Kristensen et al (7) also reported good parental satisfaction after fundoplication. O'Loughlin et al (27) surveyed 89 caregivers following antireflux surgery in neurologically impaired children.…”

“…Thus, there is a considerable discrepancy between the parents' perceptions and our evaluated post-operative data, as described above. Improvements from severe vomiting, better quality of sleep and a reduced number of episodes of pneumonia are plausible explanations for the positive outcome (7). Interestingly, caregivers reported significant improvement in feeding indices and perceptions of child 0 s comfort and child 0 s quality of life (27).…”

“…The literature offers data regarding the long-term course after fundoplication (5,6). However, few paediatric studies have focused on parental assessments of outcome and satisfaction after antireflux surgery (7). The aim of this study was to report long-term parental perceptions of gastrointestinal and pulmonary symptoms following fundoplication, with special regard to patients in different risk groups, such as those with neurological impairment and other gastrointestinal disorders.…”

Randomized Controlled Trial of Laparoscopic and Open Nissen Fundoplication in Children

“…Previously, there has only been performed one other RCT in children comparing LF and OF. 12,17,26,[32][33][34] Because not all patients with recurrence are reoperated, many studies are underpowered to detect any difference in recurrence rate between the 2 methods. 12 Although there is a lack of RCTs in children comparing the 2 operative methods, several nonrandomized publications do not suggest inferior results after LF than after OF in children.…”

Outcomes after Pediatric Fundoplication: Defining the Redo Population

“…There is significant heterogeneity among pediatric GERD studies [1]. Surgical treatment for GERD is reported to improve quality of life, especially for neurologically impaired children [2,3]. Despite initial symptomatic relief, however, the incidence of redo operation after fundoplication is reported between 1.7 and 18 percent [3][4][5][6].…”