Suárez C, Russo D, Baez J, Rossi A, Díaz F, Follett F, Rocca Rivarola M, Puigdevall J C
Servicio de Cirugía Infantil, Hospital Italiano de Córdoba, Provincia de Cordoba, Argentina.
Cir Pediatr. 2005 Apr;18(2):83-7.
Gastroesophageal reflux (GER) is a common finding in the newborn period, which is in general well tolerated, and tends to resolve spontaneously at about 18 months of age. However, a small number of children will present important respiratory manifestations (aspiration and apneic episodes), or increase in the manifestations of pre existing conditions (tracheomalacia, laryngomalacia), which can produce life threatning events. Ph monitoring does not completely discard the possibility of GER and the use of prokinetic drugs, in association with other drugs to protect the esophagus do not prevent serious consecuences produced by reflux to the airway. In this report six children with severe airway disease and marked GER, with no response to initial medical treatment required laparoscopic fundoplication. They have all resolved their airway disease, and are currently well. The laparocopic technique for fundoplication of small children seems to be a secure, well tolerated and definitive treatment in the hands of trained surgeons.
胃食管反流（GER）在新生儿期很常见，一般耐受性良好，且往往在18个月左右自行缓解。然而，少数儿童会出现重要的呼吸道表现（吸入和呼吸暂停发作），或使原有疾病（气管软化、喉软化）的表现加重，这可能导致危及生命的事件。pH监测并不能完全排除GER的可能性，使用促动力药物联合其他保护食管的药物并不能预防反流对气道产生的严重后果。在本报告中，6名患有严重气道疾病且有明显GER的儿童，对初始药物治疗无反应，需要进行腹腔镜胃底折叠术。他们都已治愈气道疾病，目前情况良好。对于小儿胃底折叠术，腹腔镜技术在训练有素的外科医生手中似乎是一种安全、耐受性良好且确定的治疗方法。
