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Kinderchirurgie pp 1–23Cite as

Gastroösophagealer Reflux bei Kindern und Jugendlichen

  • Living reference work entry
  • First Online:

Part of the book series: Springer Reference Medizin ((SRM))

Zusammenfassung

Gastroösophagealer Reflux bedeutet ein Zurückfließen von Mageninhalt in den Ösophagus. Das Phänomen kann physiologischerweise erfolgen oder aber gravierende gesundheitliche Konsequenzen für den Patienten nach sich ziehen. In letzterem Falle spricht man von pathologischem gastroösophagealem Reflux. Dieser äußert sich unterschiedlich in den verschiedenen Altersgruppen. Einige kinderchirurgische Erkrankungen und angeborene Fehlbildungen prädisponieren zum Auftreten eines pathologischen gastroösophagealen Refluxes. Wenn konservative Maßnahmen die Symptome nicht unter Kontrolle bringen, ist eine chirurgische Therapie indiziert. Dabei gibt es verschiedene Ansätze, darunter zum einen eine partielle oder eine vollständige Fundoplikatio. Wenn die Indikation zur Fundoplikatio gestellt wird, sollte diese nach Möglichkeit laparoskopisch erfolgen. Der Eingriff geht mit einem nicht unerheblichen Rezidivrisiko einher. Allerdings kann unbehandelter gastroösophagealer Reflux langfristig ebenfalls zu schwerwiegenden Komplikationen wie einem Barrett-Ösophagus, einer Striktur oder zu einem Speiseröhrenkarzinom führen.

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Authors and Affiliations

  1. Klinik und Poliklinik für Kinderchirurgie, Universitätsmedizin Mainz, Mainz, Deutschland

    Oliver J. Muensterer

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  1. Oliver J. Muensterer
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Correspondence to Oliver J. Muensterer .

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  1. Kinderchirurgische Klinik und Poliklinik, Klinikum der Universität München Kinderchirurgische Klinik und Poliklinik, München, Bayern, Germany

    Dietrich von Schweinitz

  2. Abt. Kinderchirurgie, Medizinische Hochschule Hannover (MHH) Kinderklinik, Hannover, Germany

    Benno Ure

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Muensterer, O.J. (2018). Gastroösophagealer Reflux bei Kindern und Jugendlichen. In: von Schweinitz, D., Ure, B. (eds) Kinderchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53390-1_40-1

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  • DOI: https://doi.org/10.1007/978-3-662-53390-1_40-1

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