[Long-term outcome after surgical treatment of gastroesophageal reflux in infancy and childhood].

: In this series 99 out of 131 children have been operated upon gastroeosophageal reflux at an age of 2.5 years. They were reevaluated 4.5 years later for their longterm results in 1997. All patients have been primary free of reflux postoperatively. By questionnaire, x-ray studies and 24 h/ph-metry signs of reflux could not be found in 88/99 children. 4 patients proved to suffer from a recurrant reflux and 3 out of these had to be reoperated. Another 7 showed a mild, not pathological reflux without needing medical treatment. Looking at the recurrencies especially preoperative peptic oesophagitis and stenoses as well as brachyoesophagus after oesophageal atresia turned out to be a problem in respect to prognosis. Control studies for longterm results should be done at least 1 year postoperatively.