Resumen

HERNANDEZ RIVERO, Alejandro José et al. Laparoscopic fundoplication in pediatrics: Report of 4 cases. Arch Venez Puer Ped [online]. 2014, vol.77, n.1, pp.20-23. ISSN 0004-0649.

The Gastroesophageal Reflux Disease is a condition that develops persistent gastric reflux causing nutritional disorders, specific troublesome symptoms, respiratory disease and secondary damage to the anatomy and histology of the esophagus. The goal of surgery is to restore or strengthen mechanisms for anti reflux barrier. Laparoscopic Nissen fundoplication was performed in four patients, aged between 2 and 5 years and who had gastroesophageal reflux disease. Two patients had neurological damage and a gastrostomy was performed during the laparoscopic procedure. No immediate and mediate complications in the postoperative period where seen, all patients remain symptom free during the twelve months of follow-up. Laparoscopic fundoplication is a safe alternative and provide many advantages over open surgery and should be the method of choice for the treatment of gastroesophageal reflux disease when there is failure of medical management.

Palabras clave : Gastroesophageal Reflux Disease; Laparoscopic Fundoplication.

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