Scarpa MG*, Codrich D and Schleef J
Department of Pediatric Surgery, Institute for Maternal and Child Health - IRCCS “Burlo Garofolo”, ItalyFulltext PDF
To evaluate our experience with Gastro-Esophageal Reflux (GER) treatment after Esophageal Atresia (EA) repair. Esophageal Atresia (EA) is a rare congenital malformation. A high incidence of GER unresponsive to medical management is noted with EA. Literature suggests that complications from GER can persist in adulthood. In pediatric age, laparoscopic treatment is a valid option even if recurrence rate is not negligible. We retrospectively analyzed 29 consecutive patients treated for EA at birth and studied for GER at our Institute in a period of 11 years. 24/29 (82.7%) cases had symptoms of reflux, 17/29 (58.6%) cases were treated with Laparoscopic Fundoplication (LF). Three infants were younger than 6 months and had Apparent Life Threatening Events (ALTE) condition as principal indication for surgery. No intra-operative complications occurred. 3/17 LF had opens surgical conversion due to technical problems. 2/17 cases required a second operation. At the last follow-up: - 6/17 (35.3%) of patients healed after the last operation!
Esophageal atresia; Gastroesophageal reflux; Laparoscopic treatment
Scarpa MG, Codrich D, Schleef J. Laparoscopic Fundoplication after Esophageal Atresia Repair. Clin Surg. 2018; 3: 2195.