title: Retroesophageal hiatal plasty and gastropexy in the treatment of gastroesophageal reflux with or without hiatus hernia in childhood.
abstract: The results of 214 children operated upon for cardial insufficiency with or without hiatus hernia are reported. For follow-up, 160 patients were reexamined: 83% were without symptoms, and 15% showed mild symptoms without pathological radiological findings. Recurrences occurred in 1.8%, all following thoracic operations performed during the early years of this series. A retroesophageal hiatopexy and gastropexy through an abdominal approach was performed on 146 patients. There was no recurrence in this group. Five patients died (2.3%). However, the mortality rate has been zero for the last 12 years. General aspects, diagnosis, and indication for operation are considered. The operative technique is described in detail.
mesh_terms: D002648:Child; D004947:Esophagus / Q000601:surgery; D005500:Follow-Up Studies; D005764:Gastroesophageal Reflux / Q000150:complications / Q000401:mortality / Q000601:surgery*; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D006551:Hernia, Hiatal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D008722:Methods