Gastroesophageal reflux disease

[size=20px]A two year old boy undergoes Nissen fundoplication for severe gastroesophageal reflux disease. What is the most common complication associated with Nissen fundoplication? A Surgical site infection B Dysphagia C Retching D Feeding intolerance E Recurrent GERD[/size]

Any one want a high quality PDF of this chart, post in this thread and use a personalized picture as an avatar, I will send it to you in a private message Edit: available without restrictions

[size=20px]The risk of developing recurrent gastroesophageal reflux disease following fundoplication is highest in children A less than six years old. B with neurologic impairment. C with a preoperative hiatal hernia. D with postoperative retching. E with postoperative dysphagia requiring esophageal dilatation.[/size]

First one with correct answer with justification win. A 16-year old girl with cerebral palsy had a fundoplication and gastrostomy at birth. She developed a hiatal hernia and disruption of the fundoplication two years ago and underwent revision fundoplication with primary hiatal hernia repair. She now presents with recurrent reflux symptoms and recent hospitalization for aspiration pneumonia. Her most recent upper gastrointestinal series through her gastrostomy is shown. She continues to take feedings by mouth. [size=20px]The most definitive management of this hiatal hernia would be primary A posterior crural repair. B anterior crural repair. C anterior …

please write the answer and your justification, correct answer will be submitted after 48 hrs [size=20px]Q: A nine-month old with a history of gastroesophageal reflux is being treated with a proton pump inhibitor. What is the most appropriate indication for an antireflux procedure in infants? A persistent irritability B poor weight gain C multiple brief periods of apnea D recurrent aspiration pneumonia E worsening eosinophilic esophagitis[/size]

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