European multicenter survey on the laparoscopic treatment of gastroesophageal reflux in patients aged less than 12 months with supraesophageal symptoms

Abstract

This multicenter survey underlines that GER has to be suspected and aggressively treated in infants with difficult-to-treat supraesophageal symptoms, and also in high-risk cases, in order to prevent major complications.

National Trends in the Use of Antireflux Procedures for Children

“…Surgical series have supported the aggressive use of antireflux procedures for infants with supraesophageal symptoms refractory to medical management, including recurrent aspiration, failure to thrive, and reflux-associated apnea and lifethreatening events and have reported generally favorable results in this age group. 24,25 Recent reviews have raised concerns about the extent of use of antireflux procedures for infants because of the transient nature of reflux and the difficulty of attributing symptoms to reflux in infants and have emphasized the importance of careful preoperative evaluation and patient selection for surgery in this age group. 7,26 The predominance of infants among children undergoing antireflux procedures illustrates the potential importance of these concerns.…”

IPEG Guidelines for the Surgical Treatment of Pediatric Gastroesophageal Reflux Disease (GERD)

“…This generally occurs by 6 months after the operation. 1,28 Bowel perforations can occur, and these are treated by laparoscopic or open repair of the defect. 17 Pneumonia postoperatively has been reported and is treated with antibiotics.…”

Laparoscopic Proximal Roux-en-Y Gastrojejunal Diversion in Children: Preliminary Experience from a Single Center

“…21 Total esophagogastric dissociation (TEGD) is a further alternative technique in order to reduce GER recurrence and supraesophageal complications and, therefore, the related need of iterative surgery. 9,[22][23][24] Basing on what was previously published by the same researchers, [25][26][27][28] this study will present the unicentric provisional experience on laparoscopic proximal Roux-en-Y gastrojejunal diversion, associated with gastrostomy and fundoplication, aimed at improving gastric emptying disorders, preventing GER, and allowing adequate gastric feeding ( Fig. 1).…”