|Year : 2003 | Volume
| Issue : 1 | Page : 64-67
Long term effect of thal fundoplication.
K Ashcraft, SR Choudhury
Deptt. of Pediatric Surgery, The Children's Mercy Hospital, Kansas City, MO 64108, USA
ABSTRACT: Surgery for gastroesophageal reflux disease in infants and children has been shown to be safe and effective in short term follow up, but no long term follow up is available on children who have had Thal fundoplication. This study assesses the long term structural and functional integrity of the Thal fundoplication carried out in children less than 2 year of age at least 10 years earlier. Subjective assessment of symptoms in all patients and objective tests (barium upper GI series, 24 hour pH study) in 24 randomly selected children were performed. At long term follow-up, 100 percent had correction of symptoms with 96 percent parental satisfaction. Majority could belch (96 percent) and vomit (79 percent). Twenty four-hour pH studies done in the first 12 patients was essentially normal. Hiatus hernia with an intact wrap is a frequent radiological finding in long term follow-up which does not require any treatment in asymptomatic patients.
Deptt. of Pediatric Surgery, The Children's Mercy Hospital, Kansas City, MO 64108
Source of Support: None, Conflict of Interest: None
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