Laparoscopic antireflux surgery in infants with single ventricle physiology: a 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.
Duke Scholars
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- Surgery
- Pediatrics
- Laparoscopy
- Infant
- Hypoplastic Left Heart Syndrome
- Humans
- Gastroesophageal Reflux
- 3202 Clinical sciences
- 1103 Clinical Sciences
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Surgery
- Pediatrics
- Laparoscopy
- Infant
- Hypoplastic Left Heart Syndrome
- Humans
- Gastroesophageal Reflux
- 3202 Clinical sciences
- 1103 Clinical Sciences