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Gastroösophagealer Reflux bei Kindern und Jugendlichen

  • Oliver J. Muensterer
Living reference work entry
Part of the Springer Reference Medizin book series (SRM)

Zusammenfassung

Gastroösophagealer Reflux bedeutet ein Zurückfließen von Mageninhalt in den Ösophagus. Das Phänomen kann physiologischerweise erfolgen oder aber gravierende gesundheitliche Konsequenzen für den Patienten nach sich ziehen. In letzterem Falle spricht man von pathologischem gastroösophagealem Reflux. Dieser äußert sich unterschiedlich in den verschiedenen Altersgruppen. Einige kinderchirurgische Erkrankungen und angeborene Fehlbildungen prädisponieren zum Auftreten eines pathologischen gastroösophagealen Refluxes. Wenn konservative Maßnahmen die Symptome nicht unter Kontrolle bringen, ist eine chirurgische Therapie indiziert. Dabei gibt es verschiedene Ansätze, darunter zum einen eine partielle oder eine vollständige Fundoplikatio. Wenn die Indikation zur Fundoplikatio gestellt wird, sollte diese nach Möglichkeit laparoskopisch erfolgen. Der Eingriff geht mit einem nicht unerheblichen Rezidivrisiko einher. Allerdings kann unbehandelter gastroösophagealer Reflux langfristig ebenfalls zu schwerwiegenden Komplikationen wie einem Barrett-Ösophagus, einer Striktur oder zu einem Speiseröhrenkarzinom führen.

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Copyright information

© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Klinik und Poliklinik für KinderchirurgieUniversitätsmedizin MainzMainzDeutschland

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