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
. 1982 Oct;196(4):453-60.
doi: 10.1097/00000658-198210000-00008.

Surgical management of reflux strictures of the esophagus in childhood

Surgical management of reflux strictures of the esophagus in childhood

J A O'Neill Jr et al. Ann Surg. 1982 Oct.

Abstract

The etiology of gastroesophageal reflux (GER) in infancy is related to developmental factors, and there is a high incidence of associated conditions such as neurologic syndromes and esophageal atresia (60%). This is different from the situation in adults. Experience with 18 consecutive children with peptic esophageal strictures is reviewed to determine if conservative surgical management is effective. Eighteen children 14 months to 13 years (mean 6.3 years) of age took an average of 3.5 years from the time of onset of symptoms of GER to develop tight strictures diagnosed by esophagography and esophagoscopy. The incidence of stricture in patients with GER was approximately 15%. Preoperative dilation or direct surgical management prior to correction of reflux is ineffective. All 18 children were managed by intraoperative dilatation, Nissen fundoplication, and guided dilatation after operation. More aggressive surgical procedures were not required nor were associated operations such as pyloroplasty; they are rarely necessary. An average three-year follow-up indicates that this conservative surgical approach is effective in the management of peptic esophageal strictures in childhood with relief of symptoms and gratifying improvement in growth.

PubMed Disclaimer

Similar articles

Cited by

References

    1. Gastroenterology. 1974 Aug;67(2):252-8 - PubMed
    1. Ann Surg. 1974 Oct;180(4):479-86 - PubMed
    1. Ann Surg. 1975 May;181(5):552-66 - PubMed
    1. Gastroenterology. 1975 Sep;69(3):578-83 - PubMed
    1. Ann Surg. 1975 Oct;182(4):472-7 - PubMed

LinkOut - more resources