Nissen fundoplication for gastroesophageal reflux in children

I. Samuk*, R. Afriat, B. Klin, Y. Efrati, I. Vinograd

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


During a 5-year period 50 children, aged 2 months to 15 years, underwent Nissen fundoplication for the management of severe gastroesophageal reflux and were then followed for from 3 months to 5 years. There were no immediate postoperative deaths. 8 patients (16%) died of serious underlying medical conditions during follow-up. The operation was successful in 86.3% in relation to indications for surgery. Postoperative complications specific for fundoplication occurred in 27 (54%) and other complications in 11 (22%). Of those with complications, 71% were treated successfully. The rest developed dumping syndrome which was diagnosed 1 month to 4 years after operation. They were treated with carbohydrate restriction and a special diet, the results of which will be evaluated later. Although Nissen fundoplication is very successful in resolving the indications for surgery, the high rate of postoperative complications demands re-evaluation of the indications for the operation in children.

Original languageEnglish
Pages (from-to)311-315, 368
Issue number6
StatePublished - 15 Mar 1994
Externally publishedYes


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