Babies with brain damage who can not swallow: surgical management

Arquivos de Neuro-Psiquiatria

Sidney V. Da Silva¹  Augusto F.s. Schmidt¹  Maria A. Mezzacappa¹  Sérgio T. Marba¹  Joaquim M. Bustorff-silva¹  Lourenço Sbragia¹ 

[1] ,Campinas State University Department of Surgery Department of Pediatrics and Division of Pediatric Surgery

关键词: gastrostomy;    newborn;    brain damage;    fundoplication;    gastroesophageal reflux;    gastrostomia;    recém-nascido;    dano encefálico;    fundoplicatura;    refluxo gastroesofágico;   

DOI  :  10.1590/S0004-282X2008000500007

来源: SciELO

【 摘 要 】

BACKGROUND: Neonates with severe neurological impairment are often unable to swallow, necessitating gastrostomy for feeding. Because of the risk of developing severe reflux, this procedure is often associated with fundoplication. OBJECTIVE: To assess the safety and efficacy of gastrostomy and Nissen fundoplication in 22 neonates with swallowing difficulties due to serious neurological impairment. METHOD: All children underwent an initial period of nasogastric feeding and after informed consent underwent gastrostomy and Nissen fundoplication. RESULTS: There were no significant intraoperative complications. There were two cases of postoperative periostomy leakage. Of the 22 neonates 16 were alive four months after surgery. Six neonates died of complications due to underlying disease. CONCLUSION: We concluded that gastrostomy and Nissen fundoplication are safe procedures and help parents give a better care to these children.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License