Gastroesophageal reflux in neurologically impaired children: Partial or total fundoplication?

E. Ceriati, N. Guarino, A. Zaccara, P. Marchetti, E. La Sala, M. C. Lucchetti, L. Dall'Oglio, M. Rivosecchi

Research output: Contribution to journalArticle

Abstract

Background: It is difficult to give guidelines when approaching gastroesophageal disease in neurologically impaired children. Indication for surgery has been increasing over recent years, but there is no consensus on the surgical technique of choice. Nothing has been written specifically comparing the results of different procedures in these patients, so far. Study design: We retrospectively compare the short- and long-term results of two different types of fundoplication in a series of children operated on for documented gastroesophageal reflux disease at our institution. Results: One group (group A) of 27 patients, operated on between 1977 and 1993, underwent Nissen fundoplication, the other (group B), formed of 20 patients all of whom were operated on between 1993 and 1995, underwent Thal fundoplication. We compared the results in terms of positive outcome (recovery) and negative outcome (minor and major complication), computing the relative odds of group A versus group B in terms of risk of complication, and we compared the mean operative time and the length of hospital stay by means of a student's t- test analysis. Conclusions: Our results show that there is no statistical difference between the two procedures in terms of relative risk of complication and success rate. The duration of surgery and hospital stay were significantly shorter in group B. The Thal procedure can, therefore, be proposed as first choice in the management of these patients.

Original languageEnglish
Pages (from-to)317-319
Number of pages3
JournalLangenbeck's Archives of Surgery
Volume383
Issue number5
DOIs
Publication statusPublished - Oct 1998

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Keywords

  • Fundoplication
  • Gastroesophageal reflux
  • Gastrostomy
  • Neurologically impaired children
  • Nissen
  • Pyloroplasty
  • Thal

ASJC Scopus subject areas

  • Surgery

Cite this

Ceriati, E., Guarino, N., Zaccara, A., Marchetti, P., La Sala, E., Lucchetti, M. C., Dall'Oglio, L., & Rivosecchi, M. (1998). Gastroesophageal reflux in neurologically impaired children: Partial or total fundoplication? Langenbeck's Archives of Surgery, 383(5), 317-319. https://doi.org/10.1007/s004230050139