Elsevier

The Journal of Pediatrics

Volume 96, Issue 2, February 1980, Pages 194-198
The Journal of Pediatrics

Original article
Surgery in children with gastroesophageal reflux and respiratory symptoms

https://doi.org/10.1016/S0022-3476(80)80801-8Get rights and content

We reviewed our seven-year experience in 63 children with an operation to control gastroesophageal reflux and respiratory symptoms. The age at operation, sex, major associated disorders, and control of vomiting in this group of children were compared with another group of 72 children without respiratory symptoms who also had an antireflux operation during the same period. Associated central nervous system, pharyngeal, or esophageal disorders were common in both groups. Vomiting was controlled in 96% of patients. Fifty-six of 61 (92%) children had at least partial relief of respiratory symptoms postoperatively. The complete relief of these symptoms was more likely in patients without major associated disorders (97% vs 59%, P=0.0009). Central nervous system disorders were present in most children with incomplete resolution of respiratory symptoms. It appears that a significant number of affected infants and children may have respiratory difficulties unrelated to the presence of GER.

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    Citation Excerpt :

    In addition, because of the complexity of the interaction involved and/or difficulties in obtaining satisfactorily adherence to therapy for a sufficient length of time, lifestyle modifications and pharmacologic treatments of GORD are not always followed by significant improvement in respiratory symptoms, raising doubt on the link between the two conditions.4,5 There is a general agreement that surgical options should be considered in these patients only after failure of maximal conservative management.6–9 Lack of response to treatment may require additional investigations, which include double endoscopy (DE) to detect the presence, type and the severity of inflammatory changes at the oesophageal and airway levels, but also to exclude anatomic malformations or malfunctions.10,11–13

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