Abstract
Gastroesophageal refluxis such a terminal illness it’s solution is surgical intervention that has been a challenge for therapeutic treatment. This type of treatment has started properly by positioning the child during breastfed, by the use of drugs, such as omeprazole. Purpose of the study: determining the efficiency of surgical techniques for gastroesophageal reflux, comparison of two methods: open and laparoscopic, determination of the advantages and disadvantages of techniques. The study was conducted over a 4 year period, from 1 october 2011 to 20 february 2015. The study involved 59 children, operated for gastroesophageal reflux with laparoscopic method and for the same period, 14 children operated by the open method. The duration of the operation (48 min) is greater in the group treated with laparoscopy, compared with open method (14min). In the open method we had 2 cases of wound inflamation. In both groups, a significant statistical difference is seen at the use of antibiotics. The duration of stay of patients with laparoscopic method (2 days), is significantly lower. In conclusion, it is seen that sparing incision, infant morbidity of fundoplication by Nissen, performed with laparoscopy, has the same success as it was conducted by the open method. Regime and placement of food is in both cases,at the same efficiency, in both operated groups.
Highlights
The therapeutic treatment of gastroesophageal reflux implies a series of measures which conclude at the end, at surgical treatment
Principles of surgical treatment of gastroesophageal reflux are based on the anatomy and physiology of the lower esophageal sphincter
The study involved 59 children operated for gastroesophageal reflux with laparoscopic method and for the same period 14 children operated by the open method
Summary
The therapeutic treatment of gastroesophageal reflux implies a series of measures which conclude at the end, at surgical treatment. It should be noted that surgical treatment should be the ultimate weapon to be used for the treatment of this pathology, because of complications and recurrence itself that may give this surgery. The vomiting without strain that happens after food, at breastfed children,is a symptom that can’t be called a disease, if breastfed children fade away after a meal, and we keep at elevated position. With the maturation of the lower esophageal sphincter, it goes away with time and disappears almost entirely. Seeing that symptom subsided from elevated position, it was thought to be used at chair of chalasise. Pretty soon it was noted that this led to the addition of reflux [1]
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