© 2004 by BMJ Publishing Group Ltd & British Society of Gastroenterology
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The results of endoscopic treatment for reflux in adults do not yet equal those of conventional surgery. However, the results in children look more promising. Seventeen patients aged 6–16 years underwent endoluminal fundoplication with excellent symptomatic responses and a marked fall in reflux documented by 24 h pH profile. All but one patient managed to stop anti-reflux medication, which is significantly better than most adult series. The use of general anaesthesia for all procedures and the use of three sutures may account for the improved response because most adult procedures are done under intravenous sedation and use only two sutures. The lack of a control group prevents any estimate of the placebo effect so interpretation must be cautious and the key question as to how they will fare as they grow to adulthood remains to be answered.
See p 1745
Dyspepsia of varying degrees affects nearly a quarter of the
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