[Reflux esophagitis: operative procedures in children: fundoplication (author's transl)].
Hiatus hernia and peptic esophagitis in children lead in 20% of the cases to peptic stenosis, thus rendering a reflux-preventing operation mandatory in many patients. We consider fundoplication as the operation of choice and have used it for 17 years. The early and late mortality varies between 1.2% and 1.4% and can be lowered even further through improvement of treatment. Functional complications such as "gas bloat syndrome," dysphagia, diarrhea, disappear spontaneously in the first 2-3 months after surgery. The only severe late complication is the development of a paraesophageal hernia months after surgery: This complication can be avoided through better technique. Out of 61 patients who were examined 10 or more years after operation, 58 are totally free of symptoms.
D000367:Age Factors; D002648:Child; D004940:Esophageal Stenosis / Q000209:etiology; D004942:Esophagitis, Peptic / Q000150:complications / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008722:Methods; D011183:Postoperative Complications / Q000517:prevention & control; D013270:Stomach / Q000601:surgery*
Refluxoesophagitis. Operationstaktik beim Kind: Fundoplicatio.