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oesophageal pain (2)
- Question
- Hello,
I would like to thank you at first for your answer to my question “Acute oesophageal pain”.
Following this pain, endoscopy was recently performed for my 14-year old CF daughter by the Professor of CRCM. This endoscopy has diagnosed an opened cardia, an oesophageal reflux, responsible for these very sudden and severe pains. The therapy has been modified: Omperazole changed for domperidone + + esoméprazole, sodium alginate (Gaviscon). Despite this new treatment, the pain is still present. And over all, despite this "inconfort” due to gastroesophageal reflux, our concern is the impact on the lungs: our child has recently developped a pulmonary infection because of the reflux. With these new elements, I allow myself to ask you again: the phenomenon of oesophageal reflux in a context of cystic fibrosis may increase the degradation of the patient's lungs? in order to preserve the lungs, is it suitable to consider now surgery to correct this problem of reflux? Is it frequent with this disease? Are there any significant adverse effects ? Thanks in advance for any answers you can give me. Sincerely.
- Answer
- Hello,
Gastroesophageal reflux is common in children with CF and it may lead to bronchial infections and may affect pulmonary function at long-term. Therefore it is important to detect it early and to take care medically. In some cases, when medical therapy fails to control the gastroesophageal reflux, surgical treatment can be proposed. The Nissen fundoplication is the most common antireflux procedure performed in children. This procedure is usually efficient. Few studies describe complications of Nissen intervention in patients with cystic fibrosis and they involve only small series. Nevertheless, the results seem similar to those observed in non CF patients, with a low rate of complications (mechanical) or persistence of gastroesophageal reflux. Concerning your daughter, respiratory symptoms and persistent epigastric pain despite medical treatment could lead to discuss a surgical treatment in a second step.
Sincerely
Dr Michèle Gérardin
- 28.02.2012
- 28.2.12
Link to the former question "Acute oesophageal pain":
ecorn-cf.eu/index.php?id=65&L=0&tx_expertadvice_pi1[showitem]=1646&tx_expertadvice_pi1[search]=Acute%20pain
D. d'Alquen
