Mutaf, OAbasiyanik, AKaraca, IArikan, AMir, E2019-10-272019-10-2720030022-34681531-5037https://doi.org/10.1053/jpsu.2003.50124https://hdl.handle.net/11454/37874Purpose: Surgical control of gastroesophageal reflux (GER) is a challenging problem especially in neurologically impaired children and in acquired GER patients after caustic insult to the esophagus because of high failure rates of the classical antireflux procedures. A surgical technique has been designed to overcome this high relapse incidence. Methods: During the past 75 months, 39 children between 4 months and 14 years of age underwent a gastric tube cardioplasty fashioned from the lesser curvature as the antireflux barrier. Results: In all patients, the preoperative RI values of 72 to 10 (average, 32) fell to 0 to 5 (average, 2) after the described procedure, and, in the follow-up period of 2 to 75 months, the RI values did not deteriorate in any one of the cases. Conclusions: It is possible that a 6-cm antireflux barrier (HPZ) created from the lesser curvature of the stomach is enough to control GER at any age. Copyright 2003, Elsevier Science (USA). All rights reserved.en10.1053/jpsu.2003.50124info:eu-repo/semantics/closedAccessgastroesophageal refluxantireflux surgeryantireflux barrierArticle384571574WOS:00018202060001012677568Q1Q2