Antireflux surgery in children under 3 months of age

Fonkalsrud, Eric W.; Bustorff‐Silva, Joaquim Murray; Pérez, Carlos A.; Quintero, R; Martín, Laura Domínguez; Atkinson, James B.

doi:10.1016/s0022-3468(99)90065-9

Cited by 55 publications

(25 citation statements)

References 35 publications

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“…Although the initial treatment for Ger, especially in newborns is clinical 21 , surgical treatment may be indicated in cases where anatomical disorders are present or when clinical treatment is ineffective and associated with lifethreatening conditions 22,23 . In these instances, it has been demonstrated that the Nissen fundoplication can be accomplished safely with a low incidence of complications 24 . Besides, antireflux procedure has been shown to significantly improve the life quality of these babies from the care-giver' s point of view with a high index of satisfaction 6 .…”

Section: Discussionmentioning

confidence: 99%

Babies with brain damage who can not swallow: surgical management

Silva

Schmidt

Mezzacappa

et al. 2008

Arq. Neuro-Psiquiatr.

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-Background:Neonates with severe neurological impairment are often unable to swallow, necessitating gastrostomy for feeding. Because of the risk of developing severe reflux, this procedure is often associated with fundoplication. Objective: To assess the safety and efficacy of gastrostomy and Nissen fundoplication in 22 neonates with swallowing difficulties due to serious neurological impairment. Method: All children underwent an initial period of nasogastric feeding and after informed consent underwent gastrostomy and Nissen fundoplication. Results: There were no significant intraoperative complications. There were two cases of postoperative periostomy leakage. Of the 22 neonates 16 were alive four months after surgery. Six neonates died of complications due to underlying disease. Conclusion: We concluded that gastrostomy and Nissen fundoplication are safe procedures and help parents give a better care to these children.Key WOrdS: gastrostomy, newborn, brain damage, fundoplication, gastroesophageal reflux. recém-nascidos com lesão cerebral que não deglutem: manejo cirúrgicoResumo -Introdução: Neonatos com dano neurológico são freqüentemente incapazes de deglutir necessitando de gastrostomia para alimentação. devido ao risco de refluxo grave, esse procedimento é associado à fundoplicatura. Objetivo: Avaliar a segurança e eficácia da gastrostomia com fundoplicatura Nissen em 22 neonatos com dificuldades de deglutição devido à lesão neurológica grave. Método: Todos os neonatos foram submetidos a um período inicial de alimentação por sonda nasogástrica e, após consentimento informado, foram submetidos a gastrostomia com fundoplicatura Nissen. Resultados: Não houve complicações intraoperatórias significativas. Houve dois casos de vazamento pós-operatório da ostomia. dos 22 neonatos, 16 estavam vivos 4 meses após a cirurgia. Seis neonatos morreram por complicações devido à doença de base. Conclusão: A gastrostomia com fundoplicatura Nissen é procedimento seguro e ajuda os pais a darem melhor cuidado a crianças com lesão neurológica.

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Section: Discussionmentioning

confidence: 99%

Babies with brain damage who can not swallow: surgical management

Silva

Schmidt

Mezzacappa

et al. 2008

Arq. Neuro-Psiquiatr.

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“…Fundoplication, which is one of the 3 most commonly performed major operations on children [15], is often performed for reflux-related respiratory disease [16]. However, correlation between the severity of GER, as determined by distal esophageal pH monitoring, and respiratory function is poor [17].…”

Section: Discussionmentioning

confidence: 99%

Hypopharyngeal and distal esophageal pH monitoring in children with gastroesophageal reflux and respiratory symptoms

Ramaiah¹,

Stevenson

McCallion³

2005

Journal of Pediatric Surgery

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“…Fonkalsrud et al [7] showed that antireflux surgery could be performed safely in symptomatic infants with low morality and morbidity rates and with resolution of the presenting symptoms in 75% of infants. In the current study, all 11 patients with GERD-related apnea and bradycardia had immediate resolution of symptoms after surgery and were weaned off medications.…”

Section: Discussionmentioning

confidence: 99%