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The single most important factor resulting in complications was the omission of crural repair; of seven patients without crural repair, five developed paraoesophageal hernia\/recurrence. Four patients required repeat fundoplication for severe recurrent symptoms and one of these developed the unusual complication of pericardiogastric fistula. Thirteen patients had strictures before operation from reflux oesophagitis, six (46 per cent) resolved after fundoplication alone, six responded to dilatation (mean five sessions), and one required colon interposition. Our preliminary experience with balloon dilatation was encouraging: three of three patients responded after one dilatation only. These results confirmed the efficacy of surgery in controlling reflux: 100 per cent in the short-term and 89 per cent on a 1\u20136 year follow-up. Major complications might well be reduced by routine crural repair.<\/jats:p>","DOI":"10.1002\/bjs.1800780324","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T15:41:58Z","timestamp":1172936518000},"page":"346-348","source":"Crossref","is-referenced-by-count":10,"title":["Results of fundoplication in a UK paediatric centre"],"prefix":"10.1093","volume":"78","author":[{"given":"D","family":"Parikh","sequence":"first","affiliation":[{"name":"Institute of Child Health, University of Liverpool , Liverpool,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P K H","family":"Tam","sequence":"additional","affiliation":[{"name":"Institute of Child Health, University of Liverpool , Liverpool,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1991,3,1]]},"reference":[{"key":"2024092809460612800_bib1","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/S0031-3955(16)36402-1","article-title":"Gastro-oesophageal reflux: update of patho-genesis","volume":"35","author":"Sondheimer","year":"1988","journal-title":"Pediatr Clin North Am"},{"key":"2024092809460612800_bib2","first-page":"456","article-title":"Hiatal hernia in infants and children: results of surgical treatment","volume":"69","author":"Rohatgi","year":"1971","journal-title":"Surgery"},{"key":"2024092809460612800_bib3","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/S0022-5223(19)43001-8","article-title":"Hiatal hernia and gastro-oesophageal hernia in infants and children","volume":"55","author":"Lilly","year":"1968","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024092809460612800_bib4","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1016\/S0022-5223(19)39266-9","article-title":"Treatment of gastro-oesophageal reflux in children by Thal fundoplication","volume":"82","author":"Ashcraft","year":"1981","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024092809460612800_bib5","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1097\/00000658-198305000-00010","article-title":"Gastro-oesophageal reflux in childhood. 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