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Surgery in disabled children: general gastroenterological aspects
Emanuela Ceriati1, Francesco De Peppo, Guido Ciprandi
1Department of Paediatric Surgery, Ospedale Pedietrico Bambino Gesù Scientific Institute (IRCCS), Rome, Italy. ceriati@opbg.net
Acta Paediatrica (Oslo, Norway : 1992). Supplement
|June 28, 2006
Summary
Gastrointestinal surgery, including antireflux procedures, percutaneous endoscopic gastrostomy (PEG), and salivary duct ligation, significantly improves the quality of life for children with cerebral palsy (CP). These surgical interventions address common complications like reflux, feeding difficulties, and drooling, enhancing nutritional status and overall well-being.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neurology
Background:
- Cerebral palsy (CP) is a non-progressive brain disorder affecting movement and posture.
- Children with CP frequently experience gastrointestinal issues, including gastro-oesophageal reflux disease (GERD) in up to 75% of cases.
- These complications lead to feeding difficulties, nutritional deprivation, and other health problems.
Purpose of the Study:
- To review the role of surgical interventions in managing gastrointestinal pathologies in children with cerebral palsy (CP).
- To highlight the effectiveness of specific procedures like fundoplication, percutaneous endoscopic gastrostomy (PEG), and salivary duct ligation.
Main Methods:
- Review of surgical management strategies for CP-associated gastrointestinal conditions.
- Focus on surgical experience with fundoplication, PEG placement, and salivary duct ligation.
Main Results:
- Gastrointestinal surgery offers effective solutions for GERD, feeding difficulties, and swallowing dysfunction in children with CP.
- Percutaneous endoscopic gastrostomy (PEG) is the preferred method for long-term enteral feeding in children with CP.
- Surgical options for swallowing dysfunction and drooling include salivary duct ligation, neurectomy, and gland resection.
Conclusions:
- Surgical interventions play a crucial role in managing the gastrointestinal aspects of cerebral palsy.
- Procedures such as fundoplication, PEG, and salivary duct ligation significantly improve patient outcomes and quality of life.