Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/198393
Type: Artigo de periódico
Title: [clinical And Endoscopic Outcome After Nissen Fundoplication For Gastroesophageal Reflux Disease].
Author: Vicente, Alessandra Maria Borges
Cardoso, Sílvia Regina
Servidoni, Maria de Fátima Correia Pimenta
Meirelles, Luciana Rodrigues de
Silva, Joaquim Murray Bustorff
Costa-Pinto, Elizete Aparecida Lomazi da
Abstract: The surgical treatment of gastroesophageal reflux disease is indicated in patients with a chronic condition when proton pump inhibitors therapy is ineffective or when symptoms are persistently recurrent. Fundoplication failure occurrence has been detected in some patients and highlights a needing of monitoring esophageal post-surgical condition since that clinical symptoms are not sensitive enough for indicating fundoplication failure. To identify the frequency of a disrupted wrap in the postoperative period and to evaluate esophageal complications related with gastroesophageal reflux recurrence in children and adolescents. The study was cross-sectional, prospective and descriptive, including 45 patients (16 months-16.9 years) who had undergone Nissen fundoplication in a school hospital. Twenty six patients (57.8%) were neurologically impaired. Upper gastrointestinal endoscopy was performed in order to determine fundoplication integrity, endoscopic and histopathological esophageal condition. Upper gastrointestinal endoscopies were performed from 12 up to 30 months after surgery. Patent wrap was identified in 41 patients (91.1%). Recurrent peptic esophagitis was found in 6 of 45 patients, 2 of which required a second fundoplication and other two had Barrett esophagus. Endoscopic peptic esophagitis was associated with a defective wrap (P = 0.005). Conclusions - Fundoplication was effective for treating esophagitis, even in patients with previous esophageal stenosis. Endoscopic follow up may detect surgery failure in children undergone anti-reflux surgery even in asymptomatic patients.
Subject: Adolescent
Brain Damage, Chronic
Child
Child, Preschool
Cross-sectional Studies
Esophagitis
Female
Fundoplication
Gastroesophageal Reflux
Gastroscopy
Humans
Male
Prospective Studies
Severity Of Illness Index
Treatment Outcome
Rights: aberto
Identifier DOI: 
Address: http://www.ncbi.nlm.nih.gov/pubmed/19578616
Date Issue: -1-Uns- -1
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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