2008-11-24
Total esophagogastric dissociation in adult neurologically impaired patients with severe gastroesophageal reflux: An alternative approach
Publication
Publication
Diseases of the Esophagus , Volume 21 - Issue 8 p. 742- 745
Patients with neuromuscular impairment, such as cerebral palsy or myotonic dystrophy, often suffer from oropharyngeal neuromuscular incoordination and severe gastresophageal reflux (GER). In 1997, Bianchi proposed total esophagogastric dissociation (TEGD) as an alternative to fundoplication and gastrostomy to eliminate totally the risk of recurrence of GER in neurologically impaired children. Little information exists about the best management for adult patients with severe neurological impairment in whom recurrent GER develops after failed fundoplication. We present our experience in three adult patients with neurological impairment in whom TEGD with Roux-en-Y esophagojejunostomy and feeding gastrostomy was performed for permanent treatment of GER. © 2008 Copyright the Authors Journal compilation
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doi.org/10.1111/j.1442-2050.2008.00834.x, hdl.handle.net/1765/30225 | |
Diseases of the Esophagus | |
Organisation | Erasmus MC: University Medical Center Rotterdam |
Hazebroek, E. J., Leibman, S., & Smith, G. (2008). Total esophagogastric dissociation in adult neurologically impaired patients with severe gastroesophageal reflux: An alternative approach. Diseases of the Esophagus, 21(8), 742–745. doi:10.1111/j.1442-2050.2008.00834.x |