Laparoscopic gastric antroplasty in children with delayed gastric emptying and gastroesophageal reflux

Sampson, L. K.; Georgeson, Keith E.; Royal, Stuart A.

doi:10.1016/s0022-3468(98)90448-1

Cited by 7 publications

(3 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Gastroesophageal reflux and delayed gastric emptying in pediatric patients have been treated with fundoplication and antroplasty. Some studies show significant long‐term improvement in both reflux symptoms and gastric emptying . However, there are also data to refute these findings .…”

Section: Resultsmentioning

confidence: 99%

“…Some studies show significant long-term improvement in both reflux symptoms and gastric emptying. 82,[172][173][174][175] However, there are also data to refute these findings. 176 Comparison data show no difference in gastric emptying rates between pyloromyotomy and pyloroplasty when combined with a fundoplication.…”

Section: Metoclopramide Has Been Extensively Studied In Different Agementioning

confidence: 99%

See 1 more Smart Citation

Update on pediatric gastroparesis: A review of the published literature and recommendations for future research

Kovacic

Elfar

Rosen

et al. 2019

Neurogastroenterology Motil

View full text Add to dashboard Cite

Background Due to scarcity of scientific literature on pediatric gastroparesis, there is a need to summarize current evidence and identify areas requiring further research. The aim of this study was to provide an evidence‐based review of the available literature on the prevalence, pathogenesis, clinical presentation, diagnosis, treatment, and outcomes of pediatric gastroparesis. Methods A search of the literature was performed using the Preferred Reporting Items for Systematic Reviews and Meta‐analyses guidelines with the following databases: PubMed, EMBASE, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, and Web of Science. Two independent reviewers screened abstracts for eligibility. Key Results Our search yielded 1085 original publications, 135 of which met inclusion criteria. Most articles were of retrospective study design. Only 12 randomized controlled trials were identified, all of which were in infants. The prevalence of pediatric gastroparesis is unknown. Gastroparesis may be suspected based on clinical symptoms although these are often non‐specific. The 4‐hour nuclear scintigraphy scan remains gold standard for diagnosis despite lack of pediatric normative comparison data. Therapeutic approaches include dietary modifications, prokinetic drugs, and postpyloric enteral tube feeds. For refractory cases, intrapyloric botulinum toxin and surgical interventions such as gastric electrical stimulation may be warranted. Most interventions still lack rigorous supportive data. Conclusions Diagnosis and treatment of pediatric gastroparesis are challenging due to paucity of published evidence. Larger and more rigorous clinical trials are necessary to improve outcomes.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Metoclopramide Has Been Extensively Studied In Different Agementioning

confidence: 99%

Update on pediatric gastroparesis: A review of the published literature and recommendations for future research

Kovacic

Elfar

Rosen

et al. 2019

Neurogastroenterology Motil

View full text Add to dashboard Cite

show abstract

“…Standard procedure Pyloroplasty, antroplasty, pyloromyotomy [1••], either open or laparoscopic [39].…”

Section: Gastric Drainage For Delayed Gastric Emptying Accompanying Rmentioning

confidence: 99%

Postfundoplication complications in children

Orenstein

Lorenzo

2001

Curr Treat Options Gastro

View full text Add to dashboard Cite

The optimal "treatment" of postfundoplication complications is preoperative prevention of them. Nonreflux causes of the symptom prompting surgery should be carefully eliminated preoperatively. Failure to respond to optimal powerful antireflux pharmacotherapy suggests that GERD was not the cause of symptoms. Neurologic or respiratory disease, delayed gastric emptying or retching, short esophagus, and esophageal dysmotility may predispose patients to complications, and may require careful tailoring of the fundoplication. The optimal antireflux surgery, with a wrap neither too loose nor too tight, may require a nadir lower esophageal sphincter pressure of more than 5 mm Hg to prevent reflux, but less than some value to prevent dysphagia. This latter value may be approximately 10 mm Hg, but depends on swallowing parameters such as peristaltic pressure, lower esophageal sphincter opening diameter, swallowed bolus diameter, and other considerations. Infants may require a gastrostomy tube for venting because of their lower gastric compliance to deal with swallowed air. Children with delayed gastric emptying may benefit from pyloroplasty, but this is debated. When complications occur, re-evaluate the diagnosis and the competence of the fundoplication with barium fluoroscopy, endoscopy with histology, pH probe, and other modalities as indicated. Initially try conservative management of the patient's complications, including dietary and feeding modifications. Give a trial of antireflux pharmacotherapy for recurrent reflux or pharmacotherapy directed at the specific side-effect of the fundoplication if one is present. Consider endoscopically dilating a persistently tight wrap or surgically revising the fundoplication if it is suggested by the evaluation.

show abstract

Results and Follow-up Antireflux Surgery in Neurologically Impaired Children

Pimpalwar

Najmaldin

2004

The Gastroesophageal Reflux in Infants and Children

View full text Add to dashboard Cite

Laparoscopic gastric antroplasty in children with delayed gastric emptying and gastroesophageal reflux

Cited by 7 publications

References 17 publications

Update on pediatric gastroparesis: A review of the published literature and recommendations for future research

Update on pediatric gastroparesis: A review of the published literature and recommendations for future research

Postfundoplication complications in children

Results and Follow-up Antireflux Surgery in Neurologically Impaired Children

Contact Info

Product

Resources

About