Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Mattioli, G; Bax, K; Becmeur, F; Esposito, C; Heloury, Y; Podevin, G; Lima, M; MacKinlay, GA; Goessler, A; Tovar, JA; Valla, J; Tuo, P; Nahum, L; Ottonello, G; Sacco, O; Gentilino, V; Pini-Prato, A; Caponcelli, E; Jasonni, V.
European multicenter survey on the laparoscopic treatment of gastroesophageal reflux in patients aged less than 12 months with supraesophageal symptoms.
Surg Endosc. 2005; 19(10):1309-1314
Doi: 10.1007/s00464-004-2279-z
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- Co-authors Med Uni Graz
- Gössler Alja
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- Abstract:
- BACKGROUND: This multicenter survey includes neonates and infants who underwent surgery for primary gastroesophageal reflux (GER) who presented with supraesophageal symptoms of unknown origin with a minimum of 12 months postoperative follow-up. METHODS: A total of 726 patients underwent GER surgery in 10 European Centers in the period 1998-2002. Respiratory symptoms were present in 204 patients (28%); 135 patients (17%) had surgery under 1 year of age, and 46 of them (6.3%) because of respiratory symptoms. Surgery was performed without any previous medical treatment in 10 cases (21%). The type of procedure included 37 complete 360 degrees wraps (80%) (Nissen, 12, and Rossetti, 25) and nine partial wraps (20%) (Thal five, Lortat Jacob one, Toupet one, others two). Gastrostomy was associated in 17 cases (37%) (6 PEG and 11 modified Stamm). No gastric emptying procedures were recorded. RESULTS: No major intraoperative complications were reported. Six patients developed complications (13%) and a redo operation was performed in three (6.5%). Respiratory outcome after antireflux surgery was good in 35 patients (76%) and fair with significantly improved respiratory symptoms in 11 (24%). CONCLUSIONS: This multicenter survey underlines that GER has to be suspected and aggressively treated in infants with difficult-to-treat supraesophageal symptoms, and also in high-risk cases, in order to prevent major complications.
- Find related publications in this database (using NLM MeSH Indexing)
- Europe -
- Female -
- Gastroesophageal Reflux - complications
- Humans - complications
- Infant - complications
- Laparoscopy - complications
- Male - complications
- Questionnaires - complications
- Find related publications in this database (Keywords)
- supraesophageal
- reflux
- laparoscopic
- Nissen
- neonates
- impedance