“…Various surgical antireflux procedures are performed in children (2,4‐8). Anterior gastropexy as described by Boerema has been found successful for treating GER in children (9‐13). However, 1 study found a failure rate in the gastropexy group of 42% compared with 10% failure in the fundoplication group (2); whereas another study advised that anterior gastropexy was only effective in uncomplicated patients (14).…”
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.
“…Various surgical antireflux procedures are performed in children (2,4‐8). Anterior gastropexy as described by Boerema has been found successful for treating GER in children (9‐13). However, 1 study found a failure rate in the gastropexy group of 42% compared with 10% failure in the fundoplication group (2); whereas another study advised that anterior gastropexy was only effective in uncomplicated patients (14).…”
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.
The results of surgical treatment of gastro-oesophageal reflux in 133 infants and children clearly demonstrated the superiority of the Nissen fundoplication over the Boerema gastropexy. The failure to control reflux in the gastropexy group (50 patients) was 42 per cent compared with a 9.6 per cent failure rate in the fundoplication group (83 patients). This resulted in a reoperation rate of 24 per cent for the gastropexy procedure compared with 8 per cent for the fundoplication. There was no difference in the incidence of postoperative complications.
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