Treatment of gastroesophageal reflux with a gastric tube cardioplasty.
OBJECTIVE
Surgical control of gastroesophageal reflux (GER) is a challenging problem especially in neurologically impaired children and in acquired GER patients after caustic insult to the esophagus because of high failure rates of the classical antireflux procedures. A surgical technique has been designed to overcome this high relapse incidence.


METHODS
During the past 75 months, 39 children between 4 months and 14 years of age underwent a gastric tube cardioplasty fashioned from the lesser curvature as the antireflux barrier.


RESULTS
In all patients, the preoperative RI values of 72 to 10 (average, 32) fell to 0 to 5 (average, 2) after the described procedure, and, in the follow-up period of 2 to 75 months, the RI values did not deteriorate in any one of the cases.


CONCLUSIONS
It is possible that a 6-cm antireflux barrier (HPZ) created from the lesser curvature of the stomach is enough to control GER at any age.
Mutaf
Oktay
O
Department of Pediatric Surgery, Ege University Faculty of Medicine, Izmir, Turkey.
Abasiyanik
Adnan
A
Karaca
Irfan
I
Arikan
Ahmet
A
Mir
Erol
E
D000293:Adolescent; D001471:Barrett Esophagus / Q000517:prevention & control; D002648:Child; D002675:Child, Preschool; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005764:Gastroesophageal Reflux / Q000601:surgery*; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D011312:Pressure; D012189:Retrospective Studies; D012212:Rheology; D017792:Surgical Stapling; D016896:Treatment Outcome; D014421:Turkey