Complications and Long-Term Results of the Nissen Fundoplication
Abstract The Nissen fundoplication is the operative therapy of choice in children with symptomatic gastro-esophageal reflux. In recent years several reports on specific complications of the Nissen fundoplication have been published. This report summarizes the complications in 45 patients on whom a N...
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Veröffentlicht in: | European journal of pediatric surgery 1993-02, Vol.3 (1), p.12-14 |
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creator | Hanimann, B. Sacher, P. Stauffer, U. G. |
description | Abstract
The Nissen fundoplication is the operative therapy of choice in children with symptomatic gastro-esophageal reflux. In recent years several reports on specific complications of the Nissen fundoplication have been published. This report summarizes the complications in 45 patients on whom a Nissen fundoplication was performed in our clinic between 1979 and 1989. 18 patients (40%) showed early or late complications. In 10 patients (22%) reoperation was necessary. However, at follow-up with a mean period of 4 1/2 years after surgery, 36 patients (92%) showed good results without any residual symptoms. The Nissen fundoplication had in our hands a rather high rate of complications. However, late results were excellent and our healing rate (92%) was higher than reported in other series with different techniques. |
doi_str_mv | 10.1055/s-2008-1063499 |
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The Nissen fundoplication is the operative therapy of choice in children with symptomatic gastro-esophageal reflux. In recent years several reports on specific complications of the Nissen fundoplication have been published. This report summarizes the complications in 45 patients on whom a Nissen fundoplication was performed in our clinic between 1979 and 1989. 18 patients (40%) showed early or late complications. In 10 patients (22%) reoperation was necessary. However, at follow-up with a mean period of 4 1/2 years after surgery, 36 patients (92%) showed good results without any residual symptoms. The Nissen fundoplication had in our hands a rather high rate of complications. However, late results were excellent and our healing rate (92%) was higher than reported in other series with different techniques.</description><identifier>ISSN: 0939-7248</identifier><identifier>EISSN: 1439-359X</identifier><identifier>DOI: 10.1055/s-2008-1063499</identifier><identifier>PMID: 8466868</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Adolescent ; Biological and medical sciences ; Cause of Death ; Child ; Child, Preschool ; Esophagogastric Junction - surgery ; Female ; Follow-Up Studies ; Gastroesophageal Reflux - etiology ; Gastroesophageal Reflux - mortality ; Gastroesophageal Reflux - surgery ; Hernia, Hiatal - etiology ; Hernia, Hiatal - mortality ; Hernia, Hiatal - surgery ; Humans ; Infant ; Infant, Newborn ; Male ; Medical sciences ; Original article ; Postoperative Complications - etiology ; Postoperative Complications - mortality ; Retrospective Studies ; Stomach, duodenum, intestine, rectum, anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system</subject><ispartof>European journal of pediatric surgery, 1993-02, Vol.3 (1), p.12-14</ispartof><rights>Georg Thieme Verlag KG Stuttgart · New York</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-27eea5b686a6f6889dd187d451617fef4e3fe0ea4e0cb0322870b7a5910060d93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2008-1063499.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>314,780,784,3016,3017,27923,27924,54558</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4926247$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8466868$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hanimann, B.</creatorcontrib><creatorcontrib>Sacher, P.</creatorcontrib><creatorcontrib>Stauffer, U. G.</creatorcontrib><title>Complications and Long-Term Results of the Nissen Fundoplication</title><title>European journal of pediatric surgery</title><addtitle>Eur J Pediatr Surg</addtitle><description>Abstract
The Nissen fundoplication is the operative therapy of choice in children with symptomatic gastro-esophageal reflux. In recent years several reports on specific complications of the Nissen fundoplication have been published. This report summarizes the complications in 45 patients on whom a Nissen fundoplication was performed in our clinic between 1979 and 1989. 18 patients (40%) showed early or late complications. In 10 patients (22%) reoperation was necessary. However, at follow-up with a mean period of 4 1/2 years after surgery, 36 patients (92%) showed good results without any residual symptoms. The Nissen fundoplication had in our hands a rather high rate of complications. However, late results were excellent and our healing rate (92%) was higher than reported in other series with different techniques.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Cause of Death</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Esophagogastric Junction - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastroesophageal Reflux - etiology</subject><subject>Gastroesophageal Reflux - mortality</subject><subject>Gastroesophageal Reflux - surgery</subject><subject>Hernia, Hiatal - etiology</subject><subject>Hernia, Hiatal - mortality</subject><subject>Hernia, Hiatal - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Original article</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - mortality</subject><subject>Retrospective Studies</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0939-7248</issn><issn>1439-359X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1Lw0AQhhdRaq1evQk5iLfU2WSzHzelWBWKglTwtmySiU1JsjWTHPz3pjT05mkG3mfmhYexaw5zDklyT2EEoEMOMhbGnLApF7EJ48R8nbIpmGFXkdDn7IJoC8CFiWDCJlpIqaWesoeFr3dVmbmu9A0FrsmDlW--wzW2dfCB1FcdBb4Iug0GbyURNsGyb3J_vLlkZ4WrCK_GOWOfy6f14iVcvT-_Lh5XYRYnqgsjheiSdCh1spBamzznWuUi4ZKrAguBcYGATiBkKcRRpBWkyiWGA0jITTxjd4e_u9b_9EidrUvKsKpcg74nqxIpjZQwgPMDmLWeqMXC7tqydu2v5WD3yizZvTI7KhsObsbPfVpjfsRHR0N-O-aOMlcVrWuyko7YYFRGQg1YeMC6TYk12q3v22Yw8l_tH2O7gLY</recordid><startdate>19930201</startdate><enddate>19930201</enddate><creator>Hanimann, B.</creator><creator>Sacher, P.</creator><creator>Stauffer, U. G.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19930201</creationdate><title>Complications and Long-Term Results of the Nissen Fundoplication</title><author>Hanimann, B. ; Sacher, P. ; Stauffer, U. G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-27eea5b686a6f6889dd187d451617fef4e3fe0ea4e0cb0322870b7a5910060d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Cause of Death</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Esophagogastric Junction - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastroesophageal Reflux - etiology</topic><topic>Gastroesophageal Reflux - mortality</topic><topic>Gastroesophageal Reflux - surgery</topic><topic>Hernia, Hiatal - etiology</topic><topic>Hernia, Hiatal - mortality</topic><topic>Hernia, Hiatal - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Original article</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - mortality</topic><topic>Retrospective Studies</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hanimann, B.</creatorcontrib><creatorcontrib>Sacher, P.</creatorcontrib><creatorcontrib>Stauffer, U. G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hanimann, B.</au><au>Sacher, P.</au><au>Stauffer, U. G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complications and Long-Term Results of the Nissen Fundoplication</atitle><jtitle>European journal of pediatric surgery</jtitle><addtitle>Eur J Pediatr Surg</addtitle><date>1993-02-01</date><risdate>1993</risdate><volume>3</volume><issue>1</issue><spage>12</spage><epage>14</epage><pages>12-14</pages><issn>0939-7248</issn><eissn>1439-359X</eissn><abstract>Abstract
The Nissen fundoplication is the operative therapy of choice in children with symptomatic gastro-esophageal reflux. In recent years several reports on specific complications of the Nissen fundoplication have been published. This report summarizes the complications in 45 patients on whom a Nissen fundoplication was performed in our clinic between 1979 and 1989. 18 patients (40%) showed early or late complications. In 10 patients (22%) reoperation was necessary. However, at follow-up with a mean period of 4 1/2 years after surgery, 36 patients (92%) showed good results without any residual symptoms. The Nissen fundoplication had in our hands a rather high rate of complications. However, late results were excellent and our healing rate (92%) was higher than reported in other series with different techniques.</abstract><cop>Stuttgart</cop><pub>Thieme</pub><pmid>8466868</pmid><doi>10.1055/s-2008-1063499</doi><tpages>3</tpages></addata></record> |
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subjects | Adolescent Biological and medical sciences Cause of Death Child Child, Preschool Esophagogastric Junction - surgery Female Follow-Up Studies Gastroesophageal Reflux - etiology Gastroesophageal Reflux - mortality Gastroesophageal Reflux - surgery Hernia, Hiatal - etiology Hernia, Hiatal - mortality Hernia, Hiatal - surgery Humans Infant Infant, Newborn Male Medical sciences Original article Postoperative Complications - etiology Postoperative Complications - mortality Retrospective Studies Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
title | Complications and Long-Term Results of the Nissen Fundoplication |
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