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编号:10866452
First Hospital of Beijing University cures gastroe
http://www.100md.com 2006年2月8日 《中国医学论坛报》 2002年第26期
     In the department of pediatric surgery, the first hospital of Beijing University had recently successfully treated a case of severe gastroesophageal reflux using trans- laparoscopic anti-regurgitation procedure. The patient was a 42 days old infant. The patient was discharged from the hospital 3 days later. Right after birth the sick infant started vomiting following breast feeding which did not respond to various conservative treatments. The body weight after birth was 3.6 kg and during 42 days after birth the body weight decreased to 3.0 kg. Consultation by the specialists in neonatal and pediatric surgery of the hospital the diagnosis of severe gastroesophageal reflux complicated with pneumonia was confirmed. Professor Li Long of the department of pediatric surgery operated upon this sick infant and performed folding procedure of the gastric fundus through laparoscope. During the operation, the esophagus was adequately isolated, and the gastric fundus was sutured around the esophagus for 3600 to correct the laxity of the cardiac orifice. The operation lasted for one hour and 30 minutes with bleeding of less than 2 ml. The infant was able to drink water at the night following the operation day and had breast milk the next day with complete disappearance of vomiting.

    According to the recommendation of the specialists, the routine laparotomy procedure for the correction of reflux usually requires a large incision and the manipulation is not easy. The surgery also hurts infant patients heavily and the recovery is usually slow. In addition to the non-cosmetic postoperative scar formation, there is the risks of complications such as intestinal adhesions, intestinal obstruction etc. The radical procedure for the treatment of gastroesophageal reflux through laparoscopy is easily tolerable, less traumatic, with a broad clear field of view through an unremarkable minimal incision which can be sutured accurately and conveniently., http://www.100md.com