%0 Journal Article %1 Buratti2004 %A Buratti, Silvia %A Kamenwa, Rose %A Dohil, Ranjan %A Collins, David %A Lavine, Joel E %D 2004 %J Pediatr Surg Int %K Adolescent; Anastomosis, Roux-en-Y; Bile Reflux; Brain Diseases; Cause of Death; Cerebral Palsy; Child; Child, Preschool; Esophagus; Female; Follow-Up Studies; Fundoplication; Gastritis; Gastroesophageal Humans; Infant; Intestinal Obstruction; Intestine, Small; Jejunum; Male; Nutritional Status; Postoperative Complications; Reoperation; Stomach; Surgical Wound Infection %N 10 %P 786--790 %R 10.1007/s00383-004-1150-6 %T Esophagogastric disconnection following failed fundoplication for the treatment of gastroesophageal reflux disease (GERD) in children with severe neurological impairment. %U http://dx.doi.org/10.1007/s00383-004-1150-6 %V 20 %X This report describes our experience with esophagogastric disconnection and Roux-en-Y esophagojejunostomy for the treatment of gastroesophageal reflux disease (GERD) in seven neurologically impaired children as a second antireflux operation following failed Nissen fundoplication. After a mean follow-up of 3 years, three children (43\%) were completely or almost completely symptom-free and had improved nutritional status. Early complications occurred in three patients (43\%): small bowel obstruction, wound infection, and necrosis of the Roux-en-Y loop. Three patients (43\%) presented long-term complications: jejunoesophageal bile reflux and bile reflux with gastric irritation. Two patients required reoperation (28\%), and two deaths occurred in the postoperative period (28\%). In three previous reports in the surgical literature, severe postoperative complications occurred in 0-44\%, requiring reoperation in 0-22\% of the patients, and the mortality rate was 0-11\%. Esophagogastric disconnection for the treatment of GERD in neurologically impaired children is associated with major complications and should be considered after more conservative procedures fail.

@article{Buratti2004, abstract = {This report describes our experience with esophagogastric disconnection and Roux-en-Y esophagojejunostomy for the treatment of gastroesophageal reflux disease (GERD) in seven neurologically impaired children as a second antireflux operation following failed Nissen fundoplication. After a mean follow-up of 3 years, three children (43\%) were completely or almost completely symptom-free and had improved nutritional status. Early complications occurred in three patients (43\%): small bowel obstruction, wound infection, and necrosis of the Roux-en-Y loop. Three patients (43\%) presented long-term complications: jejunoesophageal bile reflux and bile reflux with gastric irritation. Two patients required reoperation (28\%), and two deaths occurred in the postoperative period (28\%). In three previous reports in the surgical literature, severe postoperative complications occurred in 0-44\%, requiring reoperation in 0-22\% of the patients, and the mortality rate was 0-11\%. Esophagogastric disconnection for the treatment of GERD in neurologically impaired children is associated with major complications and should be considered after more conservative procedures fail.}, added-at = {2014-07-19T19:12:57.000+0200}, author = {Buratti, Silvia and Kamenwa, Rose and Dohil, Ranjan and Collins, David and Lavine, Joel E}, biburl = {https://www.bibsonomy.org/bibtex/25c67ea93cbf786e389dd9261a7c84e03/ar0berts}, doi = {10.1007/s00383-004-1150-6}, groups = {public}, interhash = {60393844760b802a882231fbcc11fa85}, intrahash = {5c67ea93cbf786e389dd9261a7c84e03}, journal = {Pediatr Surg Int}, keywords = {Adolescent; Anastomosis, Roux-en-Y; Bile Reflux; Brain Diseases; Cause of Death; Cerebral Palsy; Child; Child, Preschool; Esophagus; Female; Follow-Up Studies; Fundoplication; Gastritis; Gastroesophageal Humans; Infant; Intestinal Obstruction; Intestine, Small; Jejunum; Male; Nutritional Status; Postoperative Complications; Reoperation; Stomach; Surgical Wound Infection}, month = Oct, number = 10, pages = {786--790}, pmid = {15138781}, timestamp = {2014-07-19T19:12:57.000+0200}, title = {Esophagogastric disconnection following failed fundoplication for the treatment of gastroesophageal reflux disease (GERD) in children with severe neurological impairment.}, url = {http://dx.doi.org/10.1007/s00383-004-1150-6}, username = {ar0berts}, volume = 20, year = 2004 }