Gastrostomy with antireflux properties.

Abstract:

:The need for feeding gastrostomy seems to be increasing in children with neurological impairment and swallowing incoordination. Because gastrostomy can cause or increase gastroesophageal reflux, an antireflux procedure has been advocated at the time of gastrostomy placement in neurologically impaired children. A gastrostomy in the lesser gastric curvature with antirefluxing properties was performed in nine neurologically impaired children. All had severe swallowing incoordination with aspiration and malnutrition. Postoperatively none of the nine patients have demonstrated clinical evidence of vomiting or gastroesophageal reflux. This type of gastrostomy prevents the developement of gastroesophageal reflux by increasing the length of the intraabdominal esophagus and by increasing the acuity of the gastroesophageal angle of His. When compared with an antireflux procedure, it has less complications, shorter postoperative recovery, and is more economical.

journal_name

J Pediatr Surg

authors

Stringel G

doi

10.1016/0022-3468(90)90209-r

subject

Has Abstract

pub_date

1990-10-01 00:00:00

pages

1019-21

issue

10

eissn

0022-3468

issn

1531-5037

pii

0022-3468(90)90209-R

journal_volume

25

pub_type

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