A comparison of Nissen fundoplication and Boerema gastropexy in the surgical treatment of gastro-oesophageal reflux in children

Author:

De Laet M1,Spitz L1

Affiliation:

1. Hospital for Sick Children, Great Ormond Street, London

Abstract

Abstract The results of surgical treatment of gastro-oesophageal reflux in 133 infants and children clearly demonstrated the superiority of the Nissen fundoplication over the Boerema gastropexy. The failure to control reflux in the gastropexy group (50 patients) was 42 per cent compared with a 9·6 per cent failure rate in the fundoplication group (83 patients). This resulted in a reoperation rate of 24 per cent for the gastropexy procedure compared with 8 per cent for the fundoplication. There was no difference in the incidence of postoperative complications.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference15 articles.

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2. Surgical treatment of gastroesophageal reflux in infants and children: long-term results in 28 cases;Vos;J. Pediatr. Surg.,1971

3. The treatment of hiatus hernia in children by anterior gastropexy;Kamal;J. Pediatr. Surg.,1972

4. Fundoplication in hiatal hernia—results after 10 years;Bettex;Prog. Pediatr. Surgery.

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