Koch A, Kehrer B, Bettex M
Z Kinderchir. 1982 Aug;36(4):146-50. doi: 10.1055/s-2008-1059884.
Indications for fundoplication in 70 infants with cardiac sphincter insufficiency are analysed and subdivided into absolute and relative indications in accordance with complications conditioned by reflux. Endoscopy has proved to be the most important diagnostic method for deciding whether antireflux surgery is necessary. It enables proof or exclusion of oesophagitis as the most frequent and most severe consequence of reflux. Functional tests, such as manometry and long-term measurement of pH, are important especially in cases where severity and pattern of the disease have not been clarified. Such tests enable assessment of the function of the cardia and tubular oesophagus, and hence the hazards to which the oesophagus is exposed by the reflux of the gastrointestinal contents. Hence, they represent a contribution to a reduction of the incidence rate of surgery to the absolute minimum which is a "must" at this age, without exposing the young patient to the risk of a serious complication.
分析了70例贲门括约肌功能不全婴儿行胃底折叠术的适应证，并根据反流引起的并发症将其分为绝对适应证和相对适应证。内镜检查已被证明是决定是否需要抗反流手术的最重要诊断方法。它能够证实或排除食管炎，食管炎是反流最常见、最严重的后果。功能测试，如测压和pH值长期测量，尤其在疾病严重程度和类型尚未明确的情况下很重要。这些测试能够评估贲门和食管管的功能，从而评估胃肠道内容物反流对食管造成的危害。因此，它们有助于将手术发生率降至这个年龄段“必须”达到的绝对最低水平，同时又不会使年轻患者面临严重并发症的风险。
