Fundoplication versus postoperative medication for gastro-oesophageal reflux in children with neurological impairment undergoing gastrostomy

Abstract

Fundoplication versus postoperative medication for gastro-oesophageal reflux in children with neurological impairment undergoing gastrostomy.

Gastrostomy Placement and Management in Children: A Single-Center Experience

“…As far as nutrition status is concerned, in accord with the literature [18,19], we also observed a satisfying improvement of nutritional status.…”

Gastrostomy Placement and Management in Children: A Single-Center Experience

“…As far as nutrition status is concerned, in accord with the literature [18,19], we also observed a satisfying improvement of nutritional status.…”

Unilateral Versus Bilateral Wrap Crural Fixation in Laparoscopic Nissen Fundoplication for Children

“…Prophylactic fundoplication with gastrostomy placement is still a controversial issue. 14 Although Kawahara et al 15 concluded, in their study, that gastroesophageal reflux and related symptoms rarely deteriorate to require additional treatment after gastrostomy placement in patients with NI, we are adopting the policy of prophylactic fundoplication with gastrostomy insertion in NI patients, in concordance with the study by Ponsky et al 16 …”

Gastrostomy in Children: A 5-Year Single Tertiary Center Experience

“…In this cohort, we applied methods of clinical and procedural investigations considering associated GERD in order to indicate surgical therapy, and this is the procedure used in similar centers [ 22 ]. There is a lack of recommendations regarding routinely evaluating for GERD in children proposed for GT placement [ 23 , 24 ], even so, we performed contract upper gastrointestinal X-ray studies in all patients, pH-MII monitoring in 17 subjects, and endoscopy in 52 children; almost 50.70% of our patients concomitantly had GERD, and fundoplication was performed in 34 (47.88%) patients. The high prevalence of the neurological patients associated GERD in our cohort explains the rate of fundoplication; the same data are reported by Bawazir et al, considering that malignancy in the upper gastrointestinal tract is less frequent in the pediatric population [ 25 ].…”

Gastrostomy Placement and Management in Children: A Single-Center Experience

“…As far as nutrition status is concerned, in accord with the literature [18,19], we also observed a satisfying improvement of nutritional status.…”

Unilateral Versus Bilateral Wrap Crural Fixation in Laparoscopic Nissen Fundoplication for Children

“…Prophylactic fundoplication with gastrostomy placement is still a controversial issue. 14 Although Kawahara et al 15 concluded, in their study, that gastroesophageal reflux and related symptoms rarely deteriorate to require additional treatment after gastrostomy placement in patients with NI, we are adopting the policy of prophylactic fundoplication with gastrostomy insertion in NI patients, in concordance with the study by Ponsky et al 16 …”

Gastrostomy in Children: A 5-Year Single Tertiary Center Experience

“…In this cohort, we applied methods of clinical and procedural investigations considering associated GERD in order to indicate surgical therapy, and this is the procedure used in similar centers [ 22 ]. There is a lack of recommendations regarding routinely evaluating for GERD in children proposed for GT placement [ 23 , 24 ], even so, we performed contract upper gastrointestinal X-ray studies in all patients, pH-MII monitoring in 17 subjects, and endoscopy in 52 children; almost 50.70% of our patients concomitantly had GERD, and fundoplication was performed in 34 (47.88%) patients. The high prevalence of the neurological patients associated GERD in our cohort explains the rate of fundoplication; the same data are reported by Bawazir et al, considering that malignancy in the upper gastrointestinal tract is less frequent in the pediatric population [ 25 ].…”

Gastrostomy Placement and Management in Children: A Single-Center Experience

“…As far as nutrition status is concerned, in accord with the literature [18,19], we also observed a satisfying improvement of nutritional status.…”

Unilateral Versus Bilateral Wrap Crural Fixation in Laparoscopic Nissen Fundoplication for Children

“…Prophylactic fundoplication with gastrostomy placement is still a controversial issue. 14 Although Kawahara et al 15 concluded, in their study, that gastroesophageal reflux and related symptoms rarely deteriorate to require additional treatment after gastrostomy placement in patients with NI, we are adopting the policy of prophylactic fundoplication with gastrostomy insertion in NI patients, in concordance with the study by Ponsky et al 16 …”

Gastrostomy in Children: A 5-Year Single Tertiary Center Experience

“…In this cohort, we applied methods of clinical and procedural investigations considering associated GERD in order to indicate surgical therapy, and this is the procedure used in similar centers [ 22 ]. There is a lack of recommendations regarding routinely evaluating for GERD in children proposed for GT placement [ 23 , 24 ], even so, we performed contract upper gastrointestinal X-ray studies in all patients, pH-MII monitoring in 17 subjects, and endoscopy in 52 children; almost 50.70% of our patients concomitantly had GERD, and fundoplication was performed in 34 (47.88%) patients. The high prevalence of the neurological patients associated GERD in our cohort explains the rate of fundoplication; the same data are reported by Bawazir et al, considering that malignancy in the upper gastrointestinal tract is less frequent in the pediatric population [ 25 ].…”