Aim: Neurologically impaired (NI) children present with neuromuscular incoordination and severe gastroesophageal reflux (CER). In these cases, Bianchi has proposed total oesophagogastric dissociation (OGD) as a primary procedure and not only after failed fundoplication.Methods: Anthropometric and laboratory data, incidence of respiratory symptoms, days of hospitalisation, time of feeding, stool frequency and quality of life were tested preoperatively and after OGD over a 12-month period in 13 severe NI patients.Results: Results are shown in Table 1. We also recorded improvement in quality of life, based on communication by the person responsible for the care of the subject, and determined by psychological interviews.Conclusions: OGD is a successful and feasible procedure and can be included as a primary definitive surgical treatment in individualised nutritional rehabilitation planning for each severe NI child.

Dall'Oglio, L., Gatti, C., Villa, M., Amendola, S., La Sala, E., Frederici di Abriola, G. (2000). A new and successful chance in surgical treatment of gastrooesophageal reflux in severely neurologically impaired children: Bianchi's procedure. EUROPEAN JOURNAL OF PEDIATRIC SURGERY, 10(5), 291-294 [10.1055/s-2008-1072378].

A new and successful chance in surgical treatment of gastrooesophageal reflux in severely neurologically impaired children: Bianchi's procedure

Villa, M;
2000-10-01

Abstract

Aim: Neurologically impaired (NI) children present with neuromuscular incoordination and severe gastroesophageal reflux (CER). In these cases, Bianchi has proposed total oesophagogastric dissociation (OGD) as a primary procedure and not only after failed fundoplication.Methods: Anthropometric and laboratory data, incidence of respiratory symptoms, days of hospitalisation, time of feeding, stool frequency and quality of life were tested preoperatively and after OGD over a 12-month period in 13 severe NI patients.Results: Results are shown in Table 1. We also recorded improvement in quality of life, based on communication by the person responsible for the care of the subject, and determined by psychological interviews.Conclusions: OGD is a successful and feasible procedure and can be included as a primary definitive surgical treatment in individualised nutritional rehabilitation planning for each severe NI child.
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/20
Settore MED/18
English
neurologically impaired children
Bianchi's procedure
total esophagogastric dissociation
Dall'Oglio, L., Gatti, C., Villa, M., Amendola, S., La Sala, E., Frederici di Abriola, G. (2000). A new and successful chance in surgical treatment of gastrooesophageal reflux in severely neurologically impaired children: Bianchi's procedure. EUROPEAN JOURNAL OF PEDIATRIC SURGERY, 10(5), 291-294 [10.1055/s-2008-1072378].
Dall'Oglio, L; Gatti, C; Villa, M; Amendola, S; La Sala, E; Frederici di Abriola, G
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/311080
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