[LAPAROSCOPIC FUNDOPLICATION NISSEN--GOLD STANDARD TREATMENT OF GASTROESOPHAGEAL REFLUX IN CHILDREN].

Gastroesophageal reflux is very common in children and often leads to reflux-esophagitis, peptic esophageal strictures, Barrett's esophagus. If the conservative treatment fails a patient needs surgical treatment as well as those who suffer from complications and hiatal hernia. The most popular operation is laparoscopic Nissen fundoplication with the efficiency of more than 80%. However, the main challenge is redo fundoplications. Hiatal hernia and operation technique are considered to be the most probable risk-factors.In our study we introduce the new technique of laparoscopic Nissen procedure. It implies different way of the fundoplication wrap construction: in the first row we use sutures through all the layers of the stomach wall instead of seromuscular ones. Since 2010 more than 180 patients have been operated on with the incidence of recurrent reflux 2 times lower.