Early laparoscopic fundoplication and gastrostomy in infants with spinal muscular atrophy type I

Durkin, Emily T.; Schroth, Mary K.; Helin, M; Shaaban, Aimen F.

doi:10.1016/j.jpedsurg.2008.05.035

Cited by 50 publications

(50 citation statements)

References 13 publications

(24 reference statements)

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“…Both children were inpatients prior to the procedure. Both childrens' problems resolved quickly with NIV and an aggressive airway clearance regime similar to that reported by Durkin and co-workers [13]. As with this group, a significant number (n = 18) of our patents had ventilatory failure pre operatively.…”

Section: Discussionsupporting

confidence: 83%

“…It also highlights the importance of our protocolised approach. Durkin and co workers [13] extubated 12 spinal muscular atrophy (SMA) type I children post laparoscopic fundoplication and gastrostomy onto NIV with a pressure support of at least 10 cmH 2 O and provided airway clearance techniques. They also vented gastrostomy tubes for 2 weeks post-operatively.…”

Section: Discussionmentioning

confidence: 99%

“…Gastrostomy and jejunostomy can both be performed percutaneously using endoscopic or laparoscopic surgical techniques. However, there are significant risks associated with this surgery in infants and children who have chronic ventilator dependency [12,13]. These include: gastrointestinal bleeding; increase ventilatory dependence post operatively; acute sputum retention; atelectasis; aspiration and potential worsening of GOR with gastrostomy.…”

Section: Introductionmentioning

confidence: 99%

“…If GOR persists despite maximal medical therapy, a surgical anti-reflux operation, Nissen's fundoplication is usually indicated. In some centres a Nissen's fundoplication would always be carried out in combination with gastrostomy insertion [13,16]. Yuan and co-workers [16] reported that in the year following gastrostomy and Nissen's fundoplication in a small group of spinal muscular atrophy Type I and II children there was a decrease in the frequency of pneumonia.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Risk management protocol for gastrostomy and jejunostomy insertion in ventilator dependent infants

Chatwin

Bush

MacRae

et al. 2013

Neuromuscular Disorders

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk management protocol for gastrostomy and jejunostomy insertion in ventilator dependent infants

Chatwin

Bush

MacRae

et al. 2013

Neuromuscular Disorders

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“…4 Multidisciplinary team approach in the care of children with neuromuscular disease also very important in this aspect. Laparoscopic fundoplication is undertaken when reflux is refractory to medical therapy: positive tolerance and outcomes have been reported for this procedure, when undertaken with aggressive airway clearance and noninvasive ventilation postoperatively [22].…”

Section: Management Of Reflux and Aspirationmentioning

confidence: 99%

Pulmonary Manifestations of Neuromuscular Diseases

Khatwa

2015

Indian J Pediatr

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Neuromuscular disorders comprise a phenotypically diverse group of inherited and acquired diseases; however, they share common pathophysiologic mechanisms which produce significant respiratory complications. Respiratory and bulbar muscle weakness gives rise to ineffective cough, swallowing dysfunction results in aspiration-related lung disease, and abnormal muscle tone produces chest wall deformities - all of which ultimately leads to repeated chest infections and chronic respiratory failure. In this article, the authors describe the respiratory manifestations of neuromuscular disease and their underlying pathophysiological mechanisms. This review also highlights the diagnostic and management tools recommended for acute and chronic care. Aggressive pulmonary management is the most impactful at reducing the overall morbidity and improving the quality of life of children with neuromuscular disorders, at least while definitive molecular and gene replacement therapies remain elusive.

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Rates and Risks of Gastrostomy Tubes in Infants With Cleft Palate

Cu¹,

Sidman²

2011

Arch Otolaryngol Head Neck Surg

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Diagnosis of syn/chrom or major comorbidity significantly increases risk of G-tube placement. Regardless of syn/chrom association, problems affecting the heart, respiratory system, central nervous system, and lower esophageal sphincter are the most significant risk factors, implying that particular comorbidities are more influential than a simple diagnosis of syn/chrom. These data should help identify children at greatest risk for G-tubes and those expected to overcome feeding difficulties, leading to more persistent use of nonsurgical therapy before resorting to G-tubes.

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Early laparoscopic fundoplication and gastrostomy in infants with spinal muscular atrophy type I

Cited by 50 publications

References 13 publications

Risk management protocol for gastrostomy and jejunostomy insertion in ventilator dependent infants

Risk management protocol for gastrostomy and jejunostomy insertion in ventilator dependent infants

Pulmonary Manifestations of Neuromuscular Diseases

Rates and Risks of Gastrostomy Tubes in Infants With Cleft Palate

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