Laparoscopic Treatment of Gastroesophageal Reflux Disease in Children: How We Do It.
Holger TillMaria EscolinoMaria EscolinoGeorg SingerPaolo GasparellaChristoph ArneitzPublished in: Journal of laparoendoscopic & advanced surgical techniques. Part A (2021)
Over decades now, laparoscopic Nissen fundoplication represents the treatment of choice for symptomatic children with gastroesophageal reflux disease (GERD) unresponsive to medication. Although the basic principles of Nissen's technique are still essential today, academic studies of long-term results, complications, and patients benefits have fostered distinct modifications. Identification of surgical factors for wrap migration, dysphagia, and recurrent GERD led to recommendations for "short and floppy" wraps with minimal dissection of the phrenoesophageal membranes. This report summarizes up-to-date information from experts in the field on "how to wrap it right" followed by a critical discussion about long-term benefits for children with GERD and future developments of laparoscopic Nissen fundoplication.
Keyphrases
- gastroesophageal reflux disease
- young adults
- robot assisted
- end stage renal disease
- newly diagnosed
- chronic kidney disease
- ejection fraction
- healthcare
- emergency department
- peritoneal dialysis
- clinical practice
- prognostic factors
- current status
- patient reported outcomes
- health information
- adverse drug
- decision making
- electronic health record
- light emitting