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Tijdschrift voor kindergeneeskunde

, Volume 69, Issue 1, pp 223–226 | Cite as

De chirurgische behandeling van gastro-oesofageale reflux bij zuigelingen en kinderen

  • D. C. van der Zee
  • N. M. A. Bax
Artikelen
  • 54 Downloads

Samenvatting

Behandeling van pathologische gastro-oesofageale reflux is in principe conservatief. Alleen wanneer conservatieve behandeling niet slaagt of wanneer complicaties optreden, is chirurgische behandeling te overwegen. In de tijd zijn verschillende chirurgische technieken ontwikkeld, in een poging om ongewenste nevenverschijnselen te voorkomen. De laatste jaren kunnen deze technieken ook laparoscopisch worden uitgevoerd. De voordelen van de laparoscopische technieken – minder postoperatieve pijn, kortere opnameduur en kleinere littekens – zijn in dubbelblinde studies aangetoond. Ongeveer 90% van de patiënten is na chirurgische behandeling klachtenvrij.

Summary

Treatment of gastroesophageal reflux is primarily conservative. When conservative measures prove to be insufficient or when complications occur, surgical intervention may be mandatory. Different techniques have evolved over the time in an effort to overcome unwanted side effects. More recently these techniques are being performed laparoscopically as well. The advantages of laparoscopy – reduction of postoperative pain, shorter hospitalization and less scar formation – have been demonstrated in double blind studies. On follow-up approximately 90% of the patients is free of symptoms after antireflux procedure.

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Copyright information

© Bohn Stafleu van Loghum 2001

Authors and Affiliations

  1. 1.

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