Die laparoskopische Nissen-Fundoplikatio zur Behandlung der gastroösophagealen Refluxkrankheit bei Kindern

Zusammenfassung

Die laparoskopische Fundoplikatio nach Nissen ist eine effektive und sichere Behandlung des pathologischen gastroösophagealen Refluxes bei Säuglingen und Kindern. Sie erfordert ein hohes Maß an minimal-invasiver chirurgischer Kompetenz und eine gewissenhafte Nachbetreuung der Patienten. In den Händen von erfahrenen laparoskopischen Kinderchirurgen ist die häufigste Komplikation das Refluxrezidiv in unter 5% der Fälle. Kinder, bei denen über mehrere Monate ein pathologischer gastroösophagealer Reflux erfolglos konservativ behandelt wurde, sollten zur laparoskopischen Fundoplikatio in ein spezialisiertes Zentrum überwiesen werden.

Summary

Laparoscopic Nissen fundoplication is an effective and safe measure for the treatment of gastroesophageal reflux disease in infants and children. It requires a high degree of minimal invasive surgical competence and a meticulous patient follow-up care. In the hands of experienced laparoscopic surgeons, the most prevalent complication is recurrent reflux in fewer than 5% of cases. Children who are conservatively treated for pathologic gastroesophageal reflux over several months without success should be referred to a specialized center for laparoscopic fundoplication.

Schlüsselwörter

Gastroösophagealer Reflux - Fundoplikatio - Nissen - Laparoskopie

Keywords

Gastroesophageal reflux - fundoplication - Nissen - laparoscopy

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