Gastroesophageal reflux in neurologically impaired children

Shigehiko Yoshida, Takamichi Kamiyama, Masaki Nio, Ryoji Ohi, Yutaka Hayashi, Nobuyuki Sano, Naobumi Endo

Research output: Contribution to journalArticlepeer-review

Abstract

We present here the indication, procedure and results of surgical treatment of gastroesophageal reflux (GER) for neurologically impaired children. We decide its indication based on clinical symptoms and findings of upper GI series, esophageal pH monitoring and GI fiberscopy, respecting the QOL of the patient and family. Laparoscopic fundoplication has become the first choice in surgical treatment of GER because of its good results. However, an anti-reflux procedure is not effective in patients with intractable aspiration. A laryngotracheal separation procedure should be applied for these cases.

Original languageEnglish
Pages (from-to)211-214
Number of pages4
JournalNo To Hattatsu
Volume35
Issue number3
Publication statusPublished - 2003

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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