Abstract

Introduction: Gastroesophageal reflux (GERD) disease is one of the most common diseases in pediatric population. The fate of the fundoplication procedure, especially in patients with neurological problems, is still controversial. With the introduction of laparoscopic fundoplication application in the last two decades, significant advances have been made in surgical interventions. In this study, we aimed to compare the postoperative complications in patients with and without neurological problems with whom we performed open and laparoscopic Nissen fundoplication.Material-Metod: The aim of this study is to present laparoscopic and open Nissen fundoplication cases performed for GERD in our clinic between 2009-2014 and compare the complications.

Results: 29 female and 35 male patients aged between 5 days -18 years (mean 7.06 +/- 5.16) were included in the evaluation. There were neurological problems in 38 of them were accompanied by neurological problems. laparoscopic surgery was performed to 14 cases and open surgery was preferred for  50 cases. In the postoperative period, while there were no complications in 31 patients, 11 cases had wound infection, 9 cases had pulmoner infection, 9 cases were vomiting, 1 case had hemopneumothorax, 1 case had a gastric perforation.

Conclusion: The prevalence of pulmonary problems in the preoperative period, increases the morbidity of the surgical intervention to be made. The most important factor affecting morbidity in such patients, after minimizing preoperative pulmonary problems.

Keywords: Cerebral palsy, Gastrooesophageal reflux disease, Nissen fundoplication

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Copyright and license

Copyright © 2020 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Demirtaş G, Bostancı S, Azılı M, Akbıyık F, Şenel E, Tiryaki T. Nissen Fundoplikasyonu Yapılan Olguların Değerlendirilmesi: Tek Merkez Deneyimi. Turk J Pediatr Dis [Internet]. 2020 Sep. 29 [cited 2025 Jul. 8];14(5):413-6. Available from: https://turkjpediatrdis.org/article/view/662