Frapier J M, Bosc O, Galifer R B
J Chir (Paris). 1985 Aug-Sep;122(8-9):467-72.
Seventy-seven children with gastro-esophageal reflux have been operated upon during the last 21 years. Gradually added to the classical digestive symptoms and signs were those of respiratory disorders varying between asthma and the "missed sudden death" syndrome. Analysis of anatomical forms showed a predominance of cardio-antral malpositionings (58%) in this age group (mainly young babies). Surgical treatment, presently based on that of Toupet, apart from classical formal indications, is conducted after 3 to 4 months of medicopostural therapy when there is persistence of reflux and/or of esophagitis on fibroscopy in cardio-antral malpositions. Particularly as results of this surgery are good (disappearance of reflux in 83% of cases).
