Elisa Negri
Total Esophagogastric and Cologastric Dissociation in Neurologically Normal Children: Systematic Review
Negri, Elisa; Coletta, Riccardo; Bici, Kejd; Bianchi, Adrian; Morabito, Antonino
Authors
Riccardo Coletta
Kejd Bici
Adrian Bianchi
Antonino Morabito
Abstract
Total esophagogastric dissociation (TEGD) was first described by Bianchi as a definitive procedure for gastroesophageal reflux disease (GERD) in neurologically impaired children. In the last 20 years, different centers extended the indication to neurologically normal (NN) patients with GERD associated with congenital or acquired esophageal anomalies. The aim of this paper is to analyze the role of TEGD in this cluster of patients. A PubMed and Google Scholar search was conducted. All cases of NN children who underwent TEGD for GERD were collected. Patient characteristics and outcomes were analyzed. Complications were classified according to Clavien–Dindo classification. Forty-eight children were identified. In 56.25%, TEGD was the first anti-reflux procedure, while in 43.75% it was performed after failed fundoplications. Mean follow-up was 5.5 years. Mortality related to surgery was 2.08%. All of the survivors improved their condition, with resolution of GERD and weight gain. In addition, 50% of children weaned off enteral nutrition, with 14.6% having their gastrostomy removed, while 41.67% maintained partial enteral supplementation. Respiratory symptoms almost disappeared in 54.17% of patients. This review suggests that TEGD can also be considered for NN children where conventional methods seem insufficient to control reflux and preserve pulmonary function. Nevertheless, long-term follow-up is still required.
Citation
Negri, E., Coletta, R., Bici, K., Bianchi, A., & Morabito, A. (2022). Total Esophagogastric and Cologastric Dissociation in Neurologically Normal Children: Systematic Review. Children, 9(7), 999. https://doi.org/10.3390/children9070999
Journal Article Type | Article |
---|---|
Acceptance Date | Jun 28, 2022 |
Online Publication Date | Jul 2, 2022 |
Publication Date | Jul 2, 2022 |
Deposit Date | Sep 2, 2022 |
Publicly Available Date | Sep 2, 2022 |
Journal | Children |
Publisher | MDPI |
Volume | 9 |
Issue | 7 |
Pages | 999 |
DOI | https://doi.org/10.3390/children9070999 |
Publisher URL | https://doi.org/10.3390/children9070999 |
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Licence
http://creativecommons.org/licenses/by/4.0/
Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/
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