Laparoscopic fundoplication to enhance pulmonary function in children with severe reactive airway disease and gastroesopheagal reflux disease

Abstract

Patients with steroid-dependent RAD and GERD refractory to medical management show improvement in their respiratory status following fundoplication and the majority can be weaned off of their oral steroids. Laparoscopic techniques allow this procedure to be performed safely even in this high-risk group of patients.

Laparoscopic Nissen fundoplication for gastro-oesophageal reflux disease in infants

“…Since then, laparoscopic fundoplication have been shown to decrease the length of stay, time to full enteral feeds and analgesic requirement when compared with the open technique [15,16]. Some studies also demonstrated improvement in pulmonary status in patients with respiratory compromise [17][18][19]. It has become the standard treatment of GERD in most tertiary centers.…”

The effects of laparoscopic Nissen fundoplication to enhance pulmonary function in the treatment of a patient with severe asthma and gastroesophageal reflux disease

“…In a previous series, we reported on 56 patients with asthma who underwent laparoscopic fundoplication without a postoperative pulmonary complication. 5 The majority of patients noted a significant symptomatic improvement in their breathing in the initial postoperative period. This has been documented in some patients by an improvement in their FEV 1 .…”

Update on gastroesophageal reflux disease and asthma in children

“…Several uncontrolled studies, both in children and in adults, have shown a dramatic improvement in asthma symptoms after fundoplication; however, we do not know how long this response was maintained after the brief study period [44][45][46][47]. Because surgery is expected to be a one-time intervention, the expectation should be that the response is sustained for life.…”