Satisfactory long-term results after Nissen fundoplication.
BACKGROUND
Complications and unsatisfactory long-term results after antireflux surgery in children have received increased attention. The aim of this study was to report parental assessment of outcome after Nissen fundoplication.


METHODS
Ninety-three patients operated with primary Nissen fundoplication between 1990 and 2001 were included. Medical records were reviewed, and parents were interviewed for evaluation of postoperative results.


RESULTS
Of the 93 children, 51 were neurologically impaired and 14 children had repaired esophageal atresia. Median follow-up time was 6.0 years. Total mortality for the patient population was 13%. Five children died as a complication of the surgery, whereas eight deaths were unrelated to the Nissen fundoplication. Ninety-two percent of the parents reported better well-being of the child after the Nissen fundoplication, and 83% were completely satisfied with the postoperative results. Pulmonary symptoms were reduced in 59%, and quality of sleep improved in 68% of the children. Nine children (10%) had been operated with a redo NF.


CONCLUSIONS
The majority of parents were satisfied with the long term results of the Nissen fundoplication.
Kristensen
C
C
Surgical Department, Faculty Divisional Rikshospitalet, Faculty of Medicine, University of Oslo, Norway.
Avitsland
T
T
Emblem
R
R
Refsum
S
S
Bjørnland
K
K
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D018662:Fundoplication; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D007223:Infant; D010290:Parents; D017060:Patient Satisfaction; D012189:Retrospective Studies; D016896:Treatment Outcome