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American Academy of Pediatrics
SURGERY

Esophagogastric Dissociation versus Fundoplication in Managing Gastroesophageal Reflux in Neurologically Impaired Children

AAP Grand Rounds October 2001, 6 (4) 39; DOI: https://doi.org/10.1542/gr.6-4-39
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Source: Gatti C, Federici di Abriola G, Villa M, et al. Esophagogastric dissociation versus fundoplication: which is best for severely neurologically impaired children? J Pediatr Surg. 2001;36:677–680.OpenUrlCrossRefPubMed

While gastroesophageal reflux (GER) is usually a benign condition in healthy children, in neurologically impaired children, particularly those with swallowing difficulties, it can lead to significant problems such as malnutrition and recurrent respiratory infections. Surgical fundoplication accompanied by a feeding gastrostomy has become the favored treatment of GER among such children despite a significant risk of post-operative morbidity, mortality, and recurrence of symptoms.1 Accordingly, Bianchi2 proposed esophagogastric dissociation (EGD) as an alternative intervention for such children for whom gastrostomy feeding was …

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AAP Grand Rounds: 6 (4)
AAP Grand Rounds
Vol. 6, Issue 4
1 Oct 2001
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Esophagogastric Dissociation versus Fundoplication in Managing Gastroesophageal Reflux in Neurologically Impaired Children
AAP Grand Rounds Oct 2001, 6 (4) 39; DOI: 10.1542/gr.6-4-39

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Esophagogastric Dissociation versus Fundoplication in Managing Gastroesophageal Reflux in Neurologically Impaired Children
AAP Grand Rounds Oct 2001, 6 (4) 39; DOI: 10.1542/gr.6-4-39
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