Gastroesophageal reflux disease (GERD) can be one of the most distressing conditions developing at different ages in infants and children. The disease itself is a complex process along with ongoing dynamic anatomic and physiologic changes occurring during normal development. Therefore among referring physicians, considerations regarding the role of surgery for GERD in children varies widely depending on individual experiences in managing these patients. These varied opinions result in discrepancies in the operative experience with fundoplication among pediatric surgeons. It is unclear how much of the current opinions stem from published evidence, particularly with regard to the safety and efficacy of the current operative techniques. Therefore, in this review, the literature regarding the disease process as well as our personal experience with anti-reflux operations will be reviewed.
Annals of Pediatric Surgery
Gastroesophageal Reflux; Fundoplication; Infant; Child; Adolescent
Gastroesophageal Reflux; GERD; Fundoplication
St Peter, S. D., Holcomb, G. W. Gastroesophageal Reflux Disease and Fundoplication in Infants and Children Annals of Pediatric Surgery 3, 1207-10 (2007).