Faculty Collaboration Database

Long-term radiographic follow-up of the Nissen fundoplication in children. Pediatr Radiol 1989;19(8):523-6

Date

01/01/1989

Pubmed ID

2797936

DOI

10.1007/BF02389563

Scopus ID

2-s2.0-0024431749 (requires institutional sign-in at Scopus site)   4 Citations

Abstract

This study examined 46 children 5-9 years (mean 6.7) after Nissen fundoplication surgery for gastroesophageal reflux (GER). Eleven were deceased and ten of the 35 families declined objective evaluation. The remaining 25 children (71%) had a barium swallow examination. In 16 of the 25 patients the fundoplication was intact. In 2 patients a small portion of the fundoplication was displaced above the diaphragm. In 5 patients there was residual esophageal disease. In 3 patients (one with esophageal disease), with a hiatus hernia prior to surgery, despite immediate postoperative reduction, the barium swallow examination done for this study revealed recurrent hiatus hernia but no GER. Long-term results of the Nissen fundoplication reveal success in eliminating clinically significant gastroesophageal reflux. Those patients with esophageal disease prior to the surgery need close interval follow-up to monitor continuing problems.

Author List

Blane CE, Turnage RH, Oldham KT, Coran AG

Author

Keith Oldham MD Emeritus Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Child
Child, Preschool
Esophagus
Follow-Up Studies
Gastric Fundus
Gastroesophageal Reflux
Humans
Radiography
Time Factors