You are here

Article Text

Article menu

Download PDFPDF

Digest
Digest
Free
  1. Robin Spiller

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    ENDOSCOPIC TREATMENT OF REFLUX IN CHILDREN

    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

    SAVING ENDOSCOPIES BY TEST AND TREAT STRATEGIES FOR H PYLORI INFECTION

    Dyspepsia of varying degrees affects nearly a quarter of the adult …

    View Full Text

    Linked Articles