Affiliation:
1. Campinas State University
Abstract
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.
Subject
Neurology,Neurology (clinical)
Reference30 articles.
1. Hypoxemia during oral feeding of children with severe cerebral palsy;Rogers BT;Dev Med Child Neurol,1993
2. Gastroesophageal reflux during gastrostomy feeding;Coben RM;Gastroenterology,1994
3. Sequelae of antireflux surgery in profoundly disabled children;Martinez DA;J Pediatr Surg,1992
4. Thal fundoplication in neurologically impaired children;Ramachandran V;J Pediatr Surg,1996
5. Symptomatic gastroesophageal reflux following gastrostomy in neurologically impaired patients;Mollitt DL;Pediatrics,1985
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