Laparoscopic Nissen fundoplication without division of short gastric vessels in children

Donald C. Liu, Tony Lin, Mindy B. Statter, Loretto Glynn, Marcovalerio Melis, Yun Chen, Jianghua Zhan, Beth T. Zimmermann, William A. Loe, Charles B. Hill

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose: It has been suggested that routine division of short gastric vessels (SGVs) results in a more "floppy" Nissen fundoplication leading to improved outcomes, that is, less dysphagia and lower incidences of recurrent gastroesophageal reflux disease (GERD). The aim of this retrospective study was to assess whether laparoscopic Nissen fundoplication without division of SGVs (Rossetti modification) (laparoscopic Nissen-Rossetti fundoplication [LNRF]) is associated with acceptable clinical outcome in children. Method: The charts of 368 children who underwent LNRF between January 1996 and September 2004 by 1 primary surgeon were retrospectively reviewed. Children were divided into 2 groups: LNRF + gastrostomy (A) and LNRF alone (B). Mean follow-up period of all groups was 4.2 years. Results: Laparoscopic Nissen-Rossetti fundoplication was completed in 99% (365/368). Mean operating time for group A was 74 minutes and 61 minutes for group B. None in group A required postoperative esophageal dilatation, and 9 in group B (22.5%) required 12 dilatations; 3.6% developed recurrent GERD, 3.7% in group A and 2.5% in group B. Conclusion: Laparoscopic Nissen-Rossetti fundoplication can be performed with acceptable long-term outcome in children, especially in the majority also requiring chronic gastrostomy access. Short-term, reversible dysphagia may be seen in a small percentage of children having fundoplication alone.

Original languageEnglish (US)
Pages (from-to)120-125
Number of pages6
JournalJournal of Pediatric Surgery
Volume41
Issue number1
DOIs
StatePublished - Jan 2006
Externally publishedYes

Fingerprint

Fundoplication
Stomach
Gastrostomy
Deglutition Disorders
Gastroesophageal Reflux
Dilatation
Retrospective Studies

Keywords

  • Dysphagia
  • Nissen fundoplication
  • Recurrence
  • Rossetti
  • Short gastric vessels

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic Nissen fundoplication without division of short gastric vessels in children. / Liu, Donald C.; Lin, Tony; Statter, Mindy B.; Glynn, Loretto; Melis, Marcovalerio; Chen, Yun; Zhan, Jianghua; Zimmermann, Beth T.; Loe, William A.; B. Hill, Charles.

In: Journal of Pediatric Surgery, Vol. 41, No. 1, 01.2006, p. 120-125.

Research output: Contribution to journalArticle

Liu, DC, Lin, T, Statter, MB, Glynn, L, Melis, M, Chen, Y, Zhan, J, Zimmermann, BT, Loe, WA & B. Hill, C 2006, 'Laparoscopic Nissen fundoplication without division of short gastric vessels in children', Journal of Pediatric Surgery, vol. 41, no. 1, pp. 120-125. https://doi.org/10.1016/j.jpedsurg.2005.10.016
Liu, Donald C. ; Lin, Tony ; Statter, Mindy B. ; Glynn, Loretto ; Melis, Marcovalerio ; Chen, Yun ; Zhan, Jianghua ; Zimmermann, Beth T. ; Loe, William A. ; B. Hill, Charles. / Laparoscopic Nissen fundoplication without division of short gastric vessels in children. In: Journal of Pediatric Surgery. 2006 ; Vol. 41, No. 1. pp. 120-125.
@article{d49531d156b74796a24836146adb2d5d,
title = "Laparoscopic Nissen fundoplication without division of short gastric vessels in children",
abstract = "Purpose: It has been suggested that routine division of short gastric vessels (SGVs) results in a more {"}floppy{"} Nissen fundoplication leading to improved outcomes, that is, less dysphagia and lower incidences of recurrent gastroesophageal reflux disease (GERD). The aim of this retrospective study was to assess whether laparoscopic Nissen fundoplication without division of SGVs (Rossetti modification) (laparoscopic Nissen-Rossetti fundoplication [LNRF]) is associated with acceptable clinical outcome in children. Method: The charts of 368 children who underwent LNRF between January 1996 and September 2004 by 1 primary surgeon were retrospectively reviewed. Children were divided into 2 groups: LNRF + gastrostomy (A) and LNRF alone (B). Mean follow-up period of all groups was 4.2 years. Results: Laparoscopic Nissen-Rossetti fundoplication was completed in 99{\%} (365/368). Mean operating time for group A was 74 minutes and 61 minutes for group B. None in group A required postoperative esophageal dilatation, and 9 in group B (22.5{\%}) required 12 dilatations; 3.6{\%} developed recurrent GERD, 3.7{\%} in group A and 2.5{\%} in group B. Conclusion: Laparoscopic Nissen-Rossetti fundoplication can be performed with acceptable long-term outcome in children, especially in the majority also requiring chronic gastrostomy access. Short-term, reversible dysphagia may be seen in a small percentage of children having fundoplication alone.",
keywords = "Dysphagia, Nissen fundoplication, Recurrence, Rossetti, Short gastric vessels",
author = "Liu, {Donald C.} and Tony Lin and Statter, {Mindy B.} and Loretto Glynn and Marcovalerio Melis and Yun Chen and Jianghua Zhan and Zimmermann, {Beth T.} and Loe, {William A.} and {B. Hill}, Charles",
year = "2006",
month = "1",
doi = "10.1016/j.jpedsurg.2005.10.016",
language = "English (US)",
volume = "41",
pages = "120--125",
journal = "Journal of Pediatric Surgery",
issn = "0022-3468",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Laparoscopic Nissen fundoplication without division of short gastric vessels in children

AU - Liu, Donald C.

AU - Lin, Tony

AU - Statter, Mindy B.

AU - Glynn, Loretto

AU - Melis, Marcovalerio

AU - Chen, Yun

AU - Zhan, Jianghua

AU - Zimmermann, Beth T.

AU - Loe, William A.

AU - B. Hill, Charles

PY - 2006/1

Y1 - 2006/1

N2 - Purpose: It has been suggested that routine division of short gastric vessels (SGVs) results in a more "floppy" Nissen fundoplication leading to improved outcomes, that is, less dysphagia and lower incidences of recurrent gastroesophageal reflux disease (GERD). The aim of this retrospective study was to assess whether laparoscopic Nissen fundoplication without division of SGVs (Rossetti modification) (laparoscopic Nissen-Rossetti fundoplication [LNRF]) is associated with acceptable clinical outcome in children. Method: The charts of 368 children who underwent LNRF between January 1996 and September 2004 by 1 primary surgeon were retrospectively reviewed. Children were divided into 2 groups: LNRF + gastrostomy (A) and LNRF alone (B). Mean follow-up period of all groups was 4.2 years. Results: Laparoscopic Nissen-Rossetti fundoplication was completed in 99% (365/368). Mean operating time for group A was 74 minutes and 61 minutes for group B. None in group A required postoperative esophageal dilatation, and 9 in group B (22.5%) required 12 dilatations; 3.6% developed recurrent GERD, 3.7% in group A and 2.5% in group B. Conclusion: Laparoscopic Nissen-Rossetti fundoplication can be performed with acceptable long-term outcome in children, especially in the majority also requiring chronic gastrostomy access. Short-term, reversible dysphagia may be seen in a small percentage of children having fundoplication alone.

AB - Purpose: It has been suggested that routine division of short gastric vessels (SGVs) results in a more "floppy" Nissen fundoplication leading to improved outcomes, that is, less dysphagia and lower incidences of recurrent gastroesophageal reflux disease (GERD). The aim of this retrospective study was to assess whether laparoscopic Nissen fundoplication without division of SGVs (Rossetti modification) (laparoscopic Nissen-Rossetti fundoplication [LNRF]) is associated with acceptable clinical outcome in children. Method: The charts of 368 children who underwent LNRF between January 1996 and September 2004 by 1 primary surgeon were retrospectively reviewed. Children were divided into 2 groups: LNRF + gastrostomy (A) and LNRF alone (B). Mean follow-up period of all groups was 4.2 years. Results: Laparoscopic Nissen-Rossetti fundoplication was completed in 99% (365/368). Mean operating time for group A was 74 minutes and 61 minutes for group B. None in group A required postoperative esophageal dilatation, and 9 in group B (22.5%) required 12 dilatations; 3.6% developed recurrent GERD, 3.7% in group A and 2.5% in group B. Conclusion: Laparoscopic Nissen-Rossetti fundoplication can be performed with acceptable long-term outcome in children, especially in the majority also requiring chronic gastrostomy access. Short-term, reversible dysphagia may be seen in a small percentage of children having fundoplication alone.

KW - Dysphagia

KW - Nissen fundoplication

KW - Recurrence

KW - Rossetti

KW - Short gastric vessels

UR - http://www.scopus.com/inward/record.url?scp=30344481127&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=30344481127&partnerID=8YFLogxK

U2 - 10.1016/j.jpedsurg.2005.10.016

DO - 10.1016/j.jpedsurg.2005.10.016

M3 - Article

VL - 41

SP - 120

EP - 125

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

SN - 0022-3468

IS - 1

ER -