Pilli S, Jiwane A, Krishnan U
School of Women's and Children's Health, University of New South Wales, Sydney, Australia.
Department of Pediatric Surgery, Sydney Children's Hospital and School of Women's and Children's Health, University of New South Wales, Sydney, Australia.
Dis Esophagus. 2017 May 1;30(5):1-5. doi: 10.1093/dote/dow017.
Health-related quality of life (QOL) in children is not just related to physical symptoms but also how a disease impacts them psychosocially-mental, emotional, behavioral, and school functioning, all of which contribute to the growth and development of a child. A chronic disease, such as gastroesophageal reflux disease (GERD) characterized by troublesome symptoms and complications, can significantly impair a child's QOL. This makes it vital that treatment options aim at addressing this. Fundoplication, the surgical treatment for GERD, is one of the most common upper gastrointestinal surgeries performed by pediatric surgeons. As with any medical treatment, there is an inherent need to determine the efficacy of the procedure not only in terms of objective physiologic measures but also QOL measures for both the children and parents. There are currently limited and inconsistent data on QOL outcomes postfundoplication in children with GERD. This literature review aims at critically analyzing the data by comparing current trends with research and identifying gaps in evidence to justify the need for further research within the field.
儿童的健康相关生活质量（QOL）不仅与身体症状有关，还与疾病对他们心理社会方面（心理、情感、行为和学校功能）的影响有关，所有这些都对儿童的成长和发展有影响。一种慢性病，如以麻烦的症状和并发症为特征的胃食管反流病（GERD），会显著损害儿童的生活质量。这使得治疗方案旨在解决这一问题至关重要。胃底折叠术，即GERD的外科治疗方法，是小儿外科医生进行的最常见的上消化道手术之一。与任何医疗治疗一样，不仅需要根据客观生理指标，还需要根据儿童及其父母的生活质量指标来确定该手术的疗效。目前关于GERD患儿胃底折叠术后生活质量结果的数据有限且不一致。这篇文献综述旨在通过将当前趋势与研究进行比较来批判性地分析数据，并找出证据中的差距，以证明该领域进一步研究的必要性。
