Skip to main content

Management of Gastroesophageal Reflux After Esophageal Atresia Repair

  • Chapter
  • First Online:
Esophageal and Gastric Disorders in Infancy and Childhood

Abstract

Gastroesophageal reflux (GER) in infants, also known as chalasia of infancy, represents a common physiological phenomenon during the first year of life [1–3]. Regurgitation occurs more than once a day in 60–70 % of 3–4-month-old infants and decreases to approximately 20 % in infants between 6 and 7 months of age. By 10–12 months of age, less than 10 % of infants experience regurgitation [4–6].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Gilger M, El-Serag H, Gold B, et al. Prevalence of endoscopic findings of erosive esophagitis in children: a population-based study. J Pediatr Gastroenterol Nutr. 2008;47:141–6.

    Article  PubMed  Google Scholar 

  2. Hisayoshi K, Dent J, Davidson G. Mechanisms responsible for gastroesophageal reflux in children. Gastroenterology. 1997;113:399–408.

    Article  Google Scholar 

  3. Orenstein S, Izadnia F, Khan S. Gastroesophageal reflux disease in children. Gastroenterol Clin N Am. 1999;28:947–69.

    Article  CAS  Google Scholar 

  4. Acierno S, Chilcote H, Edwards T. Development of a quality of life instrument for pediatric gastroesophageal reflux disease: qualitative interviews. J Pediatr Gastroenterol Nutr. 2010;50:486–92.

    CAS  PubMed  Google Scholar 

  5. Campanozzi A, Boccia G, Pensabene L, et al. Prevalence and natural history of gastroesophageal reflux: pediatric prospective survey. J Pediatr. 2009;123:779–83.

    Article  Google Scholar 

  6. Othersen H, Parker E, Smith C. The surgical management of esophageal stricture in children. Ann Surg. 1988;207:590–6.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Jaksic T. Gastroesophageal reflux, surgical treatment. 2010. www.medscape.com/public/copyright.

  8. Numanoglu A, Millar A, Brown R, et al. Gastroesophageal reflux strictures in children, management and outcome. Pediatr Surg Int. 2005;21:631–4.

    Article  CAS  PubMed  Google Scholar 

  9. O’Neill J, Betts J, Ziegler M, et al. Surgical management of reflux strictures of the esophagus in childhood. Ann Surg. 1982;196:453–9.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Saleem M. Acquired oesophageal strictures in children: emphasis on the use of string guided dilatations. Singap Med J. 2009;50:82–6.

    CAS  Google Scholar 

  11. Serhal L, Gottrand F, Sfeir R, et al. Anastomotic stricture after surgical repair of esophageal atresia: frequency, risk factors, and efficacy of esophageal bougie dilatations. J Pediatr Surg. 2010;45:1459–62.

    Article  PubMed  Google Scholar 

  12. Omari T. Gastro-oesophageal reflux disease in infants and children: new insights, developments and old chestnuts. J Pediatr Gastroenterol Nutr. 2005;41:S21–3.

    Article  PubMed  Google Scholar 

  13. DeMeester TR, Wernly JA, Bryant GH, et al. Clinical and in vitro analysis of determinants of gastroesophageal competence. A study of the principles of antireflux surgery. Am J Surg. 1979;137:39–46.

    Article  CAS  PubMed  Google Scholar 

  14. Costa J, Campos M, Dias J, et al. Delayed gastric emptying and gastroesophageal reflux: a pathophysiologic relationship. J Pediatr Gastroenterol Nutr. 2001;32:471–4.

    Article  Google Scholar 

  15. Holcomb G. Gastroesophageal reflux disease in infants and children. In: Fischer J, Bland K, editors. Mastery of surgery. Philadelphia: Wolters Kluwer Lippincott Williams and Wilkins; 2007.

    Google Scholar 

  16. Ochoa J, Marheunda C. Gastroesophageal reflux. In: Ashcraft K, Murphy JP, Sharp J, et al., editors. Pediatric surgery. Philadelphia: W.B. Saunders Company; 2000.

    Google Scholar 

  17. Frykman P, Georgeson K. Laparoscopic Nissen fundoplication. In: Bax K, Georgeson K, Rothenberg S, editors. Endoscopic surgery in infants and children. Berlin: Springer; 2008.

    Google Scholar 

  18. Thomson M. Esophagitis. In: Kleiman R, editor. Walkers pediatric gastrointestinal disease. Hamilton: BC Decker Incorporated; 2008.

    Google Scholar 

  19. Haight C, Towsley H. Congenital atresia of the esophagus with tracheoesophageal fistula: extrapleural ligation of fistula and end-to-end anastomosis of esophageal segments. Surg Gynecol Obstet. 1943;76:672–88.

    Google Scholar 

  20. Castilloux J, Noble A, Faure C. Risk factors for short and long-term morbidity in children with esophageal atresia. J Pediatr. 2010;156:755–60.

    Article  PubMed  Google Scholar 

  21. Yanchar NL, Gordon R, Cooper M, et al. Significance of the clinical course and early upper gastrointestinal studies in predicting complications associated with repair of esophageal atresia. J Pediatr Surg. 2001;36:815–8222.

    Article  CAS  PubMed  Google Scholar 

  22. Koivusalo A, Turunen P, Rintala RJ, et al. Is routine dilatation after repair of esophageal atresia with distal fistula better than dilatation when symptoms arise? Comparison of results of two European pediatric surgical centers. J Pediatr Surg. 2004;39:1643–7.

    Article  CAS  PubMed  Google Scholar 

  23. Spechler S. AGA technical review on treatment of patients with dysphagia caused by benign disorders of the distal esophagus. Gastroenterology. 1999;117:233–54.

    Article  CAS  PubMed  Google Scholar 

  24. Brunch S, Hirschl R, Coran A. The diagnosis and management of recurrent tracheoesophageal fistulas. J Pediatr Surg. 2010;45:337–40.

    Article  Google Scholar 

  25. Gischler S, Zijp M, Mazer P, et al. A prospective comparative evaluation of persistent respiratory morbidity in esophageal atresia and congenital diaphragmatic hernia survivors. J Pediatr Surg. 2009;44:1683–90.

    Article  PubMed  Google Scholar 

  26. Rudolph C, Mazur L, Liptak G. Pediatric GE reflux clinical practice guidelines. J Pediatr Gastroenterol Nutr. 2001;32:S1–31.

    Article  PubMed  Google Scholar 

  27. St Peter SD, Barnhart DC, Ostlie DJ, et al. Minimal vs extensive esophageal mobilization during laparoscopic fundoplication: a prospective randomized trial. J Pediatr Surg. 2011;46:163–8.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Ostlie DJ, Holcomb III GW. The use of stab incisions for instrument access in laparoscopic operations. J Pediatr Surg. 2003;38:1837–40.

    Article  PubMed  Google Scholar 

  29. Aprahamian CJ, Morgan TL, Harmon CM, et al. U-stitch laparoscopic gastrostomy technique has a low rate of complication and allows primary button placement: experience with 461 pediatric procedures. J Laparoendosc Adv Surg Tech A. 2006;16:643–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Daniel J. Ostlie MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Pettiford, J.N., Ostlie, D.J. (2017). Management of Gastroesophageal Reflux After Esophageal Atresia Repair. In: Till, H., Thomson, M., Foker, J., Holcomb III, G., Khan, K. (eds) Esophageal and Gastric Disorders in Infancy and Childhood. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11202-7_43

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-11202-7_43

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11201-0

  • Online ISBN: 978-3-642-11202-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics