EN
TÜRKÇE
Poster - 3
Predictors of Redo-Nissen Fundoplication in Pediatric Patients
Büşra Çetinkaya, Süleyman Arif Bostancı, Vildan Selin Çayhan, Elif Emel Erten, Aslı Nur Abay, Ahmet Ertürk, Can İhsan Öztorun, Sabri Demir, Müjdem Nur Azılı, Emrah Şenel
Ankara Bilkent City Hospital Department of Pediatric Surgery, Ankara
Predictors of Redo-Nissen Fundoplication in Pediatric Patients
Purpose: Redo-Nissen fundoplication (re-Nissen) is occasionally required in pediatric patients due to persistent gastroesophageal reflux symptoms after initial fundoplication. This study aims to identify the factors influencing the need for re-Nissen, focusing specifically on patient age, neurological impairment, and the initial surgical approach (open versus laparoscopic).
Method: A retrospective analysis was conducted on 221 pediatric patients who underwent Nissen fundoplication between 2019 and 2025. We evaluated demographic data, the presence of neurological conditions, the type of initial surgery, and the duration between initial and redo procedures. Statistical analyses were performed to explore the relationships between patient age, neurological status, surgical approach, and the necessity for a redo procedure.
Results: Of the 221 cases, 20 (9.05%) required re-Nissen fundoplication. The mean age of these patients was 6.75 years (range 6 months–17 years). Of those undergoing re-Nissen fundoplication, 55% had a neurological disorder. A neurological disorder was significantly associated with the need for a redo procedure (p < 0.05). The time interval from the initial surgery to the redo surgery ranged from 4 to 20 months (mean 9.1 months). Among patients requiring re-Nissen fundoplication, 60% had initially undergone laparoscopic surgery and 40% had undergone open surgery. However, the difference between the two approaches was not statistically significant (p > 0.05). No significant relationship was found between patient age and the likelihood of redo procedures.
Conclusion: Neurological disorder significantly increases the likelihood of requiring a redo Nissen fundoplication in pediatric patients. However, neither patient age nor surgical technique (laparoscopic vs. open) significantly influenced the likelihood of redo surgery.