Laparoscopic Nissen fundoplication in infants and children: analysis of 106 consecutive patients with special emphasis in neurologically impaired vs. neurologically normal patients

Abstract

The laparoscopic Nissen fundoplication can safely be performed with a low conversion rate and no surgical mortality in neurologically normal and neurologically impaired children. Neurologically impaired children are more susceptible to per- and postoperative complications. A good quality of life and a high index of satisfaction could be achieved in most patients.

Impact of laparoscopic anterior 270° fundoplication on the quality of life and symptoms profile of neurodevelopmentally delayed versus neurologically unimpaired children and their parents

“…This is consistent with the literature for neurologically impaired and healthy pediatric GERD patients [5,18,19]. A considerable discrepancy may exist between the evolution of objective data and subjectively experienced well-being [6][7][8].…”

Long-term outcome of laparoscopic Nissen-Rossetti fundoplication versus Thal fundoplication in children with esophageal hiatal hernia: a retrospective report from two children’s medical centers in Shanghai

“…The patients' time in hospital was comparable to that of other studies, ranging from 2.3 to 14.6 days. [16][17][18][19] We found it was difficult to accomplish the 360-degree fundoplication without dissociating the gastrosplenic ligament, especially in some children with a small gastric fundus. We also found that esophageal stenosis appeared more frequently in children who were treated with the Nissen-Rossetti procedure.…”

Laparoscopic fundoplication for gastroesophageal reflux disease in infants and children

“…1 On the other hand, wrap migrations occurred more frequently in neurologically impaired children and those with postoperative esophageal atresia and diaphragmatic hernia. 1,35,36 In our series of 26 wrap migrations in neurologically normal children, there were 2 (7.7%) failures, but one had postoperative long-gap esophageal atresia and the other had tracheal stenosis (Table 2). Among the procedures, there was no difference in the ratio of redo surgery in neurologically normal children, 33 but the use of esophago-crural sutures and minimal esophageal dissection reduced the incidence of the postoperative transmigration of an LNF wrap.…”