Operative treatment of gastroesophageal reflux disease in children
Objectives. To improve the surgical treatment results of the gastroesophageal reflux disease in children. Methods. Gastroesophageal junction insufficiency is one of the causes of the gastroesophageal reflux disease (GERD). To eliminate the gastroesophageal reflux we suggest our own modification of the anti-reflux surgery - the modified purse-string suture on the gastroesophageal junction. 7 patients have been operated on according to this technique. Fibrogastroduodenoscopy, X-ray, pH-metry, ultrasound of the abdominal cavity organs have been carried out in all operated patients before and after the surgery. Results. The proposed technique of the surgical treatment of the gastroesophageal reflux disease eliminates the gastroesophageal junction insufficiency as well as it yields good functional and clinical results in the nearest and distant postoperative periods that is backed by clinical-laboratory data. Conclusions. Anti-reflux surgery, esophagofundoplication with the modified purse-string suture, is effective; it eliminates pathological reflux in all patients and yields good functional results.