DIAGNOSIS AND TREATMENT OF GASTROESOPHAGEAL REFLUX IN CHILDREN
Hu Tingze, Wei Fukang, Zhong Lin. Department of Pediatric Surgery, First Universisity Hospital. West China University of Medical Sciences, Chengdu 610041
The Diagnosis and treatment of gastroesophageal reflux(GER)was made in 33 infants and young children with severe symptoms in authors' hospital during the past 22 years. The age ranged from 40 days to 5.5 years old. 30 cases had accompanied hiatus hernia and 4 had presented with delayed gastric emptying (DGE). The diagnostic methods included barium esophagograms, ultrasonogram, esophageal manometry, gastroesophageal scintiscan and esophagoscopy. 29 patients were treated operatively and 21 cases were operated during the last 4 years. Of 21 cases, the gastroesophageal fundoplication and pyloroplasty were 19 and 2 respectively. Operative results were satisfactory. The experiences with 33 patients indicate that the combining use of various investigations is valuable for diagnosis, and the gastroesophageal fundoplication is an effective antireflux operation and can be used in pediatric patient with GER.