PEDIATRICS Vol. 59 No. 1 January 1977, pp. 62-68
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Evaluation of Gastroesophageal Reflux Surgery in Children

Dale G. Johnson M.D.1, John J. Herbst M.D.1, Miguel A. Oliveros M.D.1, and David R. Stewart M.D.1

1 Divisions of Pediatric Surgery and Pediatric Gastroenterology, University of Utah College of Medicine, and Primary Children's Medical Center, Salt Lake City

Fifty-five infants and children with complications of gastroesophageal reflux required operative management for control of symptoms. All patients, except those with severe esophageal stricture, received a six-week trial with 60-degree constant elevation before an operation was considered necessary. The operation was performed to control (1) persistent vomiting, (2) vomiting with growth retardation, (3) esophagitis, (4) esophagitis with stricture, and (5) recurrent aspiration pneumonia. Preoperative and postoperative evaluation involved both X-ray fluoroscopy and esophageal manometry with pH studies. A good surgical result was not dependent upon an increase in the lower esophageal pressure following operation. The Boerema anterior gastropexy is simple and effective for controlling gastroesophageal reflux for cases uncomplicated by esophagitis, stricture, or previous operation. Complex cases with inflammatory or operative changes in the lower esophagus are more effectively treated by Nissen fundoplication.

Submitted on November 17, 1975
Accepted on January 12, 1976




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M. Weissbluth
Gastroesophageal Reflux: A Review
Clinical Pediatrics, January 1, 1981; 20(1): 7 - 14.
[Abstract] [PDF]