University of Pittsburgh publishes research in life sciences in children
2009 AUG 3 - (NewsRx.com) -- New investigation results, 'Laparoscopic Nissen fundoplication,' are detailed in a study published in Minerva Chirurgica. According to recent research published in the journal Minerva Chirurgica, "This article will focus on a review of the history and current status of laparoscopic Nissen fundoplication for gastroesophageal reflux disease in infants and children. Review of the available current literature concerning laparoscopic Nissen fundoplication in infants and children." "Information regarding the current approach for gastroesophageal reflux disease (GERD) in children will be reviewed in addition to the indications for surgical antireflux operation; application and safety of laparoscopy; and the outcomes of laparoscopic Nissen fundoplication in both normal and neurologically impaired children. Finally, the reported data regarding the learning curve in performing the procedure and short-term and long-term complications of laparoscopic Nissen procedure will be discussed. Compared to open antireflux operations, the laparoscopic Nissen approach in infants and children is safe; durable; provides better cosmetic results; and allows for earlier institution of feedings. The established 'learning curve' for safe and competent performance of laparoscopic Nissen fundoplication is from 25-50 cases. Neurologically impaired patients may indeed benefit from a minimally invasive approach to GERD and enteral access related to improvement of quality of life. Better nutrition and decreased complications related to malnutrition and a decreased incidence of aspiration pneumonia may be realized for these patients. The laparoscopic Nissen approach to GERD is well accepted and widely utilized in infants and children," wrote T.D Kane and colleagues, University of Pittsburgh. The researchers concluded: "Prospective randomized multi-institutional studies will be necessary to accurately determine whether this therapeutic approach to GERD in both neurologically impaired and neurologically normal children is the superior option compared to continued medical therapy or gastrojejunal feeding tube approaches to GERD." Kane and colleagues published their study in Minerva Chirurgica (Laparoscopic Nissen fundoplication. Minerva Chirurgica, 2009;64(2):147-57). For additional information, contact T.D. Kane, University of Pittsburgh Medical Center and School of Medicine, Dept. of Pediatric General and Thoracic Surgery, Children's Hospital of Pittsburgh, Pittsburgh, PA USA.. The publisher's contact information for the journal Minerva Chirurgica is: Springer, 233 Spring Street, New York, NY 10013, USA. Keywords: United States, Pittsburgh, Life Sciences, Pediatrics, Pulmonology, Infectious Disease, Pneumonia, Gastroenterology, Gastroesophageal Reflux Disease, Acid Reflux, Surgery, Laparoscopy, Treatment, Therapy. This article was prepared by Biotech Business Week editors from staff and other reports. Copyright 2009, Biotech Business Week via NewsRx.com.
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