Laparoscopic antireflux surgery in infants with single ventricle physiology: a review.

Journal Article (Journal Article;Review)

Laparoscopic fundoplication and gastrostomy tube placement have grown in popularity within the pediatric population for treatment of gastroesophageal reflux disease and failure to thrive, respectively. One population that has an increased need for gastric surgery in infancy is patients with congenital heart defects, especially those with "single ventricle physiology." The most common defect included in this population is hypoplastic left heart syndrome (HLHS). Because of the abnormal physiology present in this condition, there are concerns with regard to the use of laparoscopic procedures for gastric surgery in patients treated with a three-staged reconstruction. We review the staged reconstruction of infants with HLHS, address safety concerns of interstage noncardiac procedures on this patient population, and review the current literature regarding outcomes of laparoscopic gastric surgery on patients with single ventricle physiology.

Full Text

Duke Authors

Cited Authors

  • Gulack, BCH; Adibe, OO

Published Date

  • August 2013

Published In

Volume / Issue

  • 23 / 8

Start / End Page

  • 733 - 737

PubMed ID

  • 23859741

Electronic International Standard Serial Number (EISSN)

  • 1557-9034

Digital Object Identifier (DOI)

  • 10.1089/lap.2013.0076


  • eng

Conference Location

  • United States