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Surgical Endoscopy
Published in: Surgical Endoscopy 2/2007

01-02-2007

The current role of laparoscopic surgery for gastroesophageal reflux disease in infants and children

Author: T. E. Lobe

Published in: Surgical Endoscopy | Issue 2/2007

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Abstract

Background

The benefits of surgery for gastroesophageal reflux disease (GERD) in infants and children have been questioned in the recent literature. The goal of this review was to determine the best current practice for the diagnosis and management of this disease.

Methods

The literature was reviewed for all recent English language publications on the management of GERD in 8- to 10-year-old patients.

Results

In infants and children, GERD has multiple etiologies, and an understanding of these is important for determining which patients are the best surgical candidates. Proton pump inhibitors (PPIs) have become the mainstay of current treatment for primary GERD. Although laparoscopic surgery appears to be better than open surgery, there remains some morbidity and complications that careful patient selection can minimize.

Conclusion

Surgery for GERD should be performed only after failure of medical management or for specific problems that mandate it.
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Metadata
Title
The current role of laparoscopic surgery for gastroesophageal reflux disease in infants and children
Author
T. E. Lobe
Publication date
01-02-2007
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 2/2007
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-006-0238-6

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