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Updated: Mar 8, 2026
Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Robotic-Assisted Minimally Invasive Total Esophagogastric Dissociation for Children with Severe Neurodisability
Girolamo Mattioli1, Francesco Molinaro2, Irene Paraboschi1
11 Pediatric Surgery Unit, DINOGMI, Giannina Research Institute and Children Hospital, University of Genova , Genova, Italy .
Background:
Around 70% of children with neurodisability (ND) present pharyngeal neuromuscular incoordination and severe gastroesophageal reflux disease (GORD).
Methods:
This is a pilot study with the Robotic-assisted minimally invasive total esophagogastric dissociation (TOGD).
Results:
We included 4 patients, 2 males and 2 females, with ND and severe GORD refractory to medical treatment.
Conclusions:
Pharmacological management of GORD is often unsuccessful and antireflux surgery is common, but it has a high failure rate with symptom recurrence, requiring re-do surgery. TOGD is a good option for these patients.
