Lobe T E
University of Tennessee Health Science Center, Memphis, TN, USA.
Surg Endosc. 2007 Feb;21(2):167-74. doi: 10.1007/s00464-006-0238-6. Epub 2007 Jan 2.
The benefits of surgery for gastroesophageal reflux disease (GERD) in infants and children have been questioned in the recent literature. The goal of this review was to determine the best current practice for the diagnosis and management of this disease.
The literature was reviewed for all recent English language publications on the management of GERD in 8- to 10-year-old patients.
In infants and children, GERD has multiple etiologies, and an understanding of these is important for determining which patients are the best surgical candidates. Proton pump inhibitors (PPIs) have become the mainstay of current treatment for primary GERD. Although laparoscopic surgery appears to be better than open surgery, there remains some morbidity and complications that careful patient selection can minimize.
Surgery for GERD should be performed only after failure of medical management or for specific problems that mandate it.
近期文献对婴儿和儿童胃食管反流病（GERD）手术治疗的益处提出了质疑。本综述的目的是确定目前该疾病诊断和管理的最佳实践方法。
对近期所有关于8至10岁GERD患者管理的英文出版物进行文献综述。
在婴儿和儿童中，GERD有多种病因，了解这些病因对于确定哪些患者是最佳手术候选者很重要。质子泵抑制剂（PPIs）已成为目前原发性GERD治疗的主要手段。尽管腹腔镜手术似乎优于开放手术，但仍存在一些发病率和并发症，通过仔细选择患者可将其降至最低。
GERD手术仅应在药物治疗失败后或针对特定问题需要时进行。
