G. Belloli et al., TREATMENT OF GASTROESOPHAGEAL REFLUX AND HIATAL-HERNIA BY BOEREMA ANTERIOR GASTROPEXY, Pediatric surgery international, 9(1-2), 1994, pp. 41-46
The authors present their experience with Boerema anterior gastropexy
in the surgical treatment of gastroesophageal reflux (GER) in 105 chil
dren operated upon for GER without (71) and with (34) a hiatal hernia.
The operative technique was gastropexy according to Boerema, plus ret
roesophageal hiatopexy for cases of major hiatal hernia. At follow-up,
95 children (almost 90%) were completely asymptomatic and 7 showed mi
ld symptoms with minimally abnormal radiographic findings. Clinical an
d radiographic recurrences occurred in 3 patients, 2 with severe brain
damage. Two children were reoperated for postoperative ileus due to a
dhesions. The mortality was zero. In the author's opinion, the Boerema
procedure is a very simple, safe, and effective technique that is ass
ociated with very few complications and negligible mortality and shoul
d be considered the method of choice in the surgical treatment of GER
and hiatal hernia in non-mentally-retarded children.