کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5718246 1411245 2017 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Clinical PaperIs fundoplication required after the Foker procedure for long gap esophageal atresia?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Clinical PaperIs fundoplication required after the Foker procedure for long gap esophageal atresia?
چکیده انگلیسی

BackgroundFundoplication has been performed almost universally in children treated with the Foker procedure (FP) for long gap esophageal atresia (LGEA). We report our experience with pharmacological management and endoscopic surveillance rather than early routine fundoplication in infants treated with the FP.MethodsA retrospective chart review was performed of all children treated with the Foker procedure at our institution.ResultsNine children have undergone the FP since 2007. Median time between FP and definitive anastomoses was 22 days. All nine children kept their native esophagus. There were three minor anastomotic leaks, all treated nonoperatively. All children required dilatation of anastomotic strictures (range 2-15). All have been treated with proton pump inhibitors. Three children had eosinophilic esophagitis and one had Barrett's esophagus. Only two children in this series have undergone fundoplication, which was performed for symptomatic and persistent erosive esophagitis.ConclusionThe question of early versus delayed fundoplication in LGEA patients managed with the FP remains unanswered. Our series demonstrates that it is possible to achieve good long-term outcomes when the operation is reserved for children with gastroesophageal reflux disease resistant to maximal medical therapy.Level of evidenceIV.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 52, Issue 7, July 2017, Pages 1117-1120
نویسندگان
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