The surgical treatment of gastro-esophageal reflux in neonates and infants

Maurizio Pacilli, Moti M. Chowdhury, Agostino Pierro

Research output: Contribution to journalReview ArticleResearchpeer-review

20 Citations (Scopus)

Abstract

Gastro-esophageal reflux (GER) is a physiological process characterized by the involuntary passage of gastric contents into the lower esophagus not induced by noxious stimuli. It represents a common condition in preterm infants and may occur in healthy neonates. The phenomenon is only considered as GER disease when it causes the patient to be symptomatic or results in pathological complications. Fundoplication is recommended in symptomatic neonates and infants with GER that does not respond to medical treatment. The presence of respiratory symptoms related to GER is the primary indication for fundoplication in this selected population. The Nissen fundoplication is the antireflux procedure of choice and the experience concerning other procedures, including laparoscopic techniques, is limited in this age group. The best results are achieved in newborn infants with isolated GER, as the recurrence rate of GER in infants with associated anomalies is high. Further studies are necessary to evaluate the benefit of laparoscopic fundoplication in this age group.

Original languageEnglish
Pages (from-to)34-41
Number of pages8
JournalSeminars in Pediatric Surgery
Volume14
Issue number1
DOIs
Publication statusPublished - 2005
Externally publishedYes

Keywords

  • Fundoplication
  • Gastro-esophageal reflux disease
  • Infants
  • Neonates
  • Nissen
  • Surgical management

Cite this

Pacilli, Maurizio ; Chowdhury, Moti M. ; Pierro, Agostino. / The surgical treatment of gastro-esophageal reflux in neonates and infants. In: Seminars in Pediatric Surgery. 2005 ; Vol. 14, No. 1. pp. 34-41.
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The surgical treatment of gastro-esophageal reflux in neonates and infants. / Pacilli, Maurizio; Chowdhury, Moti M.; Pierro, Agostino.

In: Seminars in Pediatric Surgery, Vol. 14, No. 1, 2005, p. 34-41.

Research output: Contribution to journalReview ArticleResearchpeer-review

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