Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2005 Oct;90(10):1047-52.
doi: 10.1136/adc.2004.069674.

Outcomes of fundoplication: causes for concern, newer options

E Hassall  1
Affiliations
Review

Outcomes of fundoplication: causes for concern, newer options

E Hassall. Arch Dis Child. 2005 Oct.

Abstract

Antireflux surgery has been a mainstay of treatment for gastro-oesophageal reflux disease in children for some 40 years. In recent years, enthusiasm for antireflux surgery seems only to have increased, despite its often poor outcome, and the availability of highly effective medical therapy in the form of proton pump inhibitors (PPIs). Reports show that many children undergo surgery without reflux disease as the demonstrable cause of their symptoms/signs, and without evidence of having failed optimised medical management. Very few studies report objective testing postoperatively--those that do show high rates of failure within the first 1-3 years following surgery. Treatment with PPIs is an effective and safe alternative to surgery in many cases.

PubMed Disclaimer

References

    1. J Pediatr Surg. 1998 Jan;33(1):64-6 - PubMed
    1. J Pediatr. 2005 Mar;146(3 Suppl):S3-12 - PubMed
    1. J Pediatr Gastroenterol Nutr. 2001;32 Suppl 2:S1-31 - PubMed
    1. J Pediatr Gastroenterol Nutr. 1993 May;16(4):345-64 - PubMed
    1. J Pediatr. 1983 Apr;102(4):505-8 - PubMed