Laparoscopic gastroesophageal dissociation in neurologically impaired children with gastroesophageal reflux disease

Neurologically impaired children with severe gastroesophageal reflux disease (GERD) are a challenging group of patients. We theorized that a laparoscopic gastroesophageal dissociation (LGED) may decrease reflux-related readmissions and healthcare visits, and improve quality of life (QOL) for them an...

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Bibliographic Details
Published in:Journal of pediatric surgery 2018-01, Vol.53 (1), p.30-35
Main Authors: DeAntonio, Jonathan H., Parrish, Dan W., Rosati, Shannon F., Oiticica, Claudio, Lanning, David A.
Format: Article
Language:English
Subjects:
Esophagogastric disconnect
Gastroesophageal reflux disease (GERD)
Laparoscopic gastroesophageal dissociation (LGED)
Neurologically impaired children
Total esophagogastric dissociation (TEGD)
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Summary:Neurologically impaired children with severe gastroesophageal reflux disease (GERD) are a challenging group of patients. We theorized that a laparoscopic gastroesophageal dissociation (LGED) may decrease reflux-related readmissions and healthcare visits, and improve quality of life (QOL) for them and their caregivers. A retrospective review was performed on our pediatric patients that underwent an LGED along with a caregiver survey from 2013 to 2017. Twenty-two neurologically impaired patients (14months–17years) with severe GERD underwent an LGED. Patients weighed 7.9-57kg (avg=23.8kg), length of stay ranged from 5 to 20days (avg=12days), estimated blood loss ranged from
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2017.10.010