Authors: C Capito MD Leclair H Piloquet V Plattner Y Heloury G Podevin
Publish Date: 2007/10/26
Volume: 22, Issue: 4, Pages: 875-880
Abstract
The study examined 127 children 73 neurologically impaired and 54 neurologically normal with primary GERD who consecutively underwent LNF from 1992 to 2003 The followup protocol included evaluations at 3 15 and more than 36 months longterm evaluation postoperatively which consisted of physical examination and 24h pH monitoring Recurrences were defined as abnormal pHmetry exhibited by symptomatic childrenThe longterm followup period averaged 55 years Of the 73 neurologically impaired children 9 12 had GERD recurrences which occurred during the evaluation period and required redo surgery in four cases including two Bianchi procedures In the neurologically normal group one recurrence 2 occurred 3 months after surgery The longterm complications in this group included dyspepsia n = 3 occasional dysphagia n = 2 gas bloat syndrome n = 1 and alimentary disorders n = 2For children with primary GERD LNF is a longterm efficient procedure For the neurologically impaired children the results were good with more than 85 of the children symptom free after 5 years although repeated evaluations are required to diagnose late recurrences related to evolving dysmotility disorders
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