pubmed-article:3927414 | pubmed:abstractText | The results of 214 children operated upon for cardial insufficiency with or without hiatus hernia are reported. For follow-up, 160 patients were reexamined: 83% were without symptoms, and 15% showed mild symptoms without pathological radiological findings. Recurrences occurred in 1.8%, all following thoracic operations performed during the early years of this series. A retroesophageal hiatopexy and gastropexy through an abdominal approach was performed on 146 patients. There was no recurrence in this group. Five patients died (2.3%). However, the mortality rate has been zero for the last 12 years. General aspects, diagnosis, and indication for operation are considered. The operative technique is described in detail. | lld:pubmed |