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Related Experiment Videos

Gastrostomy with antireflux properties.

G Stringel1

  • 1Department of Surgery, University of Texas Southwestern Medical Center, Dallas.

Journal of Pediatric Surgery
|October 1, 1990
PubMed
Summary

A novel gastrostomy technique in neurologically impaired children effectively prevents gastroesophageal reflux. This antireflux gastrostomy offers a simpler, more economical alternative to traditional antireflux procedures.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Neurology

Background:

  • Feeding gastrostomy is increasingly needed for children with neurological impairment and swallowing difficulties.
  • Standard gastrostomy can exacerbate or cause gastroesophageal reflux.
  • Antireflux procedures are often recommended with gastrostomy in these patients.

Purpose of the Study:

  • To evaluate a novel gastrostomy technique with inherent antireflux properties.
  • To assess the efficacy and safety of this modified gastrostomy in neurologically impaired children.

Main Methods:

  • A gastrostomy was created in the lesser gastric curvature with antirefluxing features.
  • Nine neurologically impaired children with severe swallowing incoordination, aspiration, and malnutrition underwent the procedure.

Main Results:

  • None of the nine patients showed clinical signs of vomiting or gastroesophageal reflux postoperatively.
  • The technique enhances the intraabdominal esophagus length and the angle of His, preventing reflux.

Conclusions:

  • This antireflux gastrostomy is effective in preventing gastroesophageal reflux in neurologically impaired children.
  • It presents fewer complications, a shorter recovery, and is more cost-effective than separate antireflux surgery.

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