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01-10-2005 | Original article

European multicenter survey on the laparoscopic treatment of gastroesophageal reflux in patients aged less than 12 months with supraesophageal symptoms

Authors: G. Mattioli, K. Bax, F. Becmeur, C. Esposito, Y. Heloury, G. Podevin, M. Lima, G. A. MacKinlay, A. Goessler, J. A. Tovar, J. Valla, P. Tuo, L. Nahum, G. Ottonello, O. Sacco, V. Gentilino, A. Pini-Prato, E. Caponcelli, V. Jasonni

Published in: Surgical Endoscopy | Issue 10/2005

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° 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.

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Title: European multicenter survey on the laparoscopic treatment of gastroesophageal reflux in patients aged less than 12 months with supraesophageal symptoms
Authors: G. Mattioli
K. Bax
F. Becmeur
C. Esposito
Y. Heloury
G. Podevin
M. Lima
G. A. MacKinlay
A. Goessler
J. A. Tovar
J. Valla
P. Tuo
L. Nahum
G. Ottonello
O. Sacco
V. Gentilino
A. Pini-Prato
E. Caponcelli
V. Jasonni
Publication date: 01-10-2005
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 10/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-004-2279-z

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European multicenter survey on the laparoscopic treatment of gastroesophageal reflux in patients aged less than 12 months with supraesophageal symptoms

Abstract

Background:

Methods:

Results:

Conclusions:

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Abstract

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