Some Data on Surgical Treatment of Gastroesophageal Reflux

Saimir Heta; Hysen Heta

doi:doi:10.11648/j.ajp.20170305.16

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Some Data on Surgical Treatment of Gastroesophageal Reflux

Saimir Heta, Hysen Heta

Published in American Journal of Pediatrics (Volume 3, Issue 5)

Received: 28 December 2016 Accepted: 6 February 2017 Published: 24 October 2017

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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.

Published in	American Journal of Pediatrics (Volume 3, Issue 5)
DOI	10.11648/j.ajp.20170305.16
Page(s)	58-61
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Gastrointestinal Reflux, Laparoscopy, Open Method, Nissen Fundoplication

References

[1]	The infant seat as treatment for gastroesophageal reflux. The New England Journal of Medicine. 1984 Feb 23; 310 (8): 527-8. PubMed PMID: 6694700. Epub 1984/02/23.eng.
[2]	Faure C. [Position and sudden death of the infant]. Pressemedicale. 1995 Dec 16-23; 24 (39): 1879-81. PubMed PMID: 8745534. Epub 1995/12/16. Position et mort subite du nourrisson. fre.
[3]	Suffocation deaths associated with use of infant sleep positioners--United States, 1997-2011. MMWR Morbidity and mortality weekly report. 2012 Nov 23; 61 (46): 933-7. PubMed PMID: 23169313. Epub 2012/11/22.eng.
[4]	Vandenplas Y, Benatar A, Cools F, Arana A, Hegar B, Hauser B. Efficacy and tolerability of cisapride in children. Paediatric drugs. 2001; 3 (8): 559-73. PubMed PMID: 11577921.
[5]	Quigley EM. Cisapride: What can we learn from the rise and fall of a prokinetic? Journal of digestive diseases. 2011 Jun; 12 (3): 147-56. PubMed PMID:21615867. Epub 2011/05/28.eng.
[6]	Tjon JA, Pe M, Soscia J, Mahant S. Efficacy and Safety of Proton Pump Inhibitors in the Management of Pediatric Gastroesophageal Reflux Disease. Pharmacotherapy. 2013 May 26. PubMed PMID: 23712734.
[7]	Canani RB, Cirillo P, Roggero P, Romano C, Malamisura B, Terrin G, et al. Therapy with gastric acidity inhibitors increases the risk of acute gastroenteritis and community-acquired pneumonia in children. Pediatrics. 2006 May; 117 (5): e817-20. PubMed PMID: 16651285.
[8]	Maureen Moore, Cheguevara Afaneh, Daniel Benhuri, Caroline Antonacci, Jonathan Abelson, and Rasa Zarnegar; “Gastroesophageal reflux disease: A review of surgical decision making”; World J Gastrointest Surg. 2016 Jan 27; 8 (1): 77–83. Published online 2016 Jan 27. doi:10.4240/wjgs.v8.i1.77PMCID: PMC4724590.
[9]	Su F, Zhang C, Ke L, Wang Z, Li Y, Li H, Du Z.; “Efficacy comparison of laparoscopic Nissen, Toupet and Dor fundoplication in the treatment of hiatal hernia complicated with gastroesophageal reflux disease”; Zhonghua Wei Chang Wai Ke Za Zhi. 2016 Sep 25; 19 (9): 1014-1020.
[10]	Mauritz FA, Rinsma NF, van Heurn EL, Sloots CE, Siersema PD, Houwen RH, van der Zee DC, Masclee AA, Conchillo JM, Van Herwaarden-Lindeboom MY; “Esophageal mucosal integrity improves after laparoscopic antireflux surgery in children with gastroesophageal reflux disease”; Surg Endosc. 2016 Nov 1. [Epub ahead of print].

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APA Style

Saimir Heta, Hysen Heta. (2017). Some Data on Surgical Treatment of Gastroesophageal Reflux. American Journal of Pediatrics, 3(5), 58-61. https://doi.org/10.11648/j.ajp.20170305.16

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ACS Style

Saimir Heta; Hysen Heta. Some Data on Surgical Treatment of Gastroesophageal Reflux. Am. J. Pediatr. 2017, 3(5), 58-61. doi: 10.11648/j.ajp.20170305.16

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AMA Style

Saimir Heta, Hysen Heta. Some Data on Surgical Treatment of Gastroesophageal Reflux. Am J Pediatr. 2017;3(5):58-61. doi: 10.11648/j.ajp.20170305.16

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@article{10.11648/j.ajp.20170305.16,
  author = {Saimir Heta and Hysen Heta},
  title = {Some Data on Surgical Treatment of Gastroesophageal Reflux},
  journal = {American Journal of Pediatrics},
  volume = {3},
  number = {5},
  pages = {58-61},
  doi = {10.11648/j.ajp.20170305.16},
  url = {https://doi.org/10.11648/j.ajp.20170305.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20170305.16},
  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.},
 year = {2017}
}

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TY - JOUR
T1 - Some Data on Surgical Treatment of Gastroesophageal Reflux
AU - Saimir Heta
AU - Hysen Heta
Y1 - 2017/10/24
PY - 2017
N1 - https://doi.org/10.11648/j.ajp.20170305.16
DO - 10.11648/j.ajp.20170305.16
T2 - American Journal of Pediatrics
JF - American Journal of Pediatrics
JO - American Journal of Pediatrics
SP - 58
EP - 61
PB - Science Publishing Group
SN - 2472-0909
UR - https://doi.org/10.11648/j.ajp.20170305.16
AB - 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.
VL - 3
IS - 5
ER -

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Author Information

Saimir Heta

University Hospital Center, Pediatric Surgery, Pediatrician Surgeon, Tirana, Albania
Hysen Heta

University Hospital Center, Pediatric Surgery, Pediatrician Surgeon, Tirana, Albania

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APA Style

Saimir Heta, Hysen Heta. (2017). Some Data on Surgical Treatment of Gastroesophageal Reflux. American Journal of Pediatrics, 3(5), 58-61. https://doi.org/10.11648/j.ajp.20170305.16

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ACS Style

Saimir Heta; Hysen Heta. Some Data on Surgical Treatment of Gastroesophageal Reflux. Am. J. Pediatr. 2017, 3(5), 58-61. doi: 10.11648/j.ajp.20170305.16

Copy | Download

AMA Style

Saimir Heta, Hysen Heta. Some Data on Surgical Treatment of Gastroesophageal Reflux. Am J Pediatr. 2017;3(5):58-61. doi: 10.11648/j.ajp.20170305.16

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@article{10.11648/j.ajp.20170305.16,
  author = {Saimir Heta and Hysen Heta},
  title = {Some Data on Surgical Treatment of Gastroesophageal Reflux},
  journal = {American Journal of Pediatrics},
  volume = {3},
  number = {5},
  pages = {58-61},
  doi = {10.11648/j.ajp.20170305.16},
  url = {https://doi.org/10.11648/j.ajp.20170305.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20170305.16},
  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.},
 year = {2017}
}

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