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Laparoscopic Watson Fundoplication Is Effective and Durable in Children with Gastrooesophageal Reflux
Joint Authors
Dunckley, Matthew G.
Rajwani, Kapil M.
Mahomed, Anies A.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-31
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Gastroesophageal reflux (GOR) affects 2–8% of children over 3 years of age and is associated with significant morbidity.
The disorder is particularly critical in neurologically impaired children, who have a high risk of aspiration.
Traditionally, the surgical antireflux procedure of choice has been Nissen’s operation.
However, this technique has a significant incidence of mechanical complications and has a reoperation rate of approximately 7%, leading to the development of alternative approaches.
Watson’s technique of partial anterior fundoplication has been shown to achieve long-lasting reflux control in adults with few mechanical complications, but there is limited data in the paediatric population.
We present here short- and long-term outcomes of laparoscopic Watson fundoplication in a series of 76 children and infants, 34% of whom had a degree of neurological impairment including severe cerebral palsy and hypoxic brain injury.
The overall complication rate was 27.6%, of which only 1 was classified as major.
To date, we have not recorded any incidences of perforation and no revisions.
In our experience, Watson’s laparoscopic partial fundoplication can be performed with minimal complications and with durable results, not least in neurologically compromised children, making it a viable alternative to the Nissen procedure in paediatric surgery.
American Psychological Association (APA)
Dunckley, Matthew G.& Rajwani, Kapil M.& Mahomed, Anies A.. 2014. Laparoscopic Watson Fundoplication Is Effective and Durable in Children with Gastrooesophageal Reflux. Minimally Invasive Surgery،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1043978
Modern Language Association (MLA)
Dunckley, Matthew G.…[et al.]. Laparoscopic Watson Fundoplication Is Effective and Durable in Children with Gastrooesophageal Reflux. Minimally Invasive Surgery No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1043978
American Medical Association (AMA)
Dunckley, Matthew G.& Rajwani, Kapil M.& Mahomed, Anies A.. Laparoscopic Watson Fundoplication Is Effective and Durable in Children with Gastrooesophageal Reflux. Minimally Invasive Surgery. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1043978
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1043978