[Indications and results of surgical treatment in XXXX and @entity357 ].

@entity1 @entity75 @entity4806 @entity357 @entity418 @entity354
It is well known that closure of the @entity418 is incomplete in about 25-30% of all @entity1 ; the @entity354 is a direct consequence. Roughly two-thirds of these @entity1 do not show symptoms and only one-third become symptomatic. The symptoms are mild in about 75% of the symptomatic @entity1 ; no treatment or medical treatment by pediatrician is required. In the remaining 25% the symptoms are moderate or severe and the clinical treatment is necessary. About the 85% of these @entity1 are cured with conservative treatment and only 15% of this small remaining group require surgery. In the paper the diagnostic problems and indications for surgery are considered. The Authors report the results of 66 @entity1 operated on for @entity354 without (44 @entity1 ) and with (22 @entity1 ) @entity357 . The operative technique was gastropexy according to Boerema plus retroesophageal hiatopexy in the cases of important @entity357 . At the follow-up 61 @entity1 (92.5%) were completely asymptomatic and three showed mild symptoms without pathological radiological findings. Clinical and radiological recurrences occurred in two @entity1 (4.5%) with severe @entity75 . Two @entity1 were reoperated on postoperatively for an ileus due to adhesion. The mortality rate has been zero. In the author's opinion, the Boerema procedure is a simple, physiologic and fast technique, associated with very few complications and no mortality rate and should be considered the elective method in the surgical treatment of @entity354 and @entity357 in @entity4806 @entity1 .
