SURGICAL TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE IN CHILDREN WITH NEUROLOGICAL DISORDERS ACCOMPANIED BY IMPAIRED SWALLOWING

• Main Authors: M. G. Dzhilavyan, L. M. Kuzenkova, T. V. Podkletnova, A. A. Shavrov (junior)
• Format: Article
• Language: English
• Published: Paediatrician Publishers, LLC 2013-09-01
• Series: Pediatričeskaâ Farmakologiâ
• Subjects: pediatrics; pediatric surgery; gastroesophageal reflux disease; cerebral palsy; pseudobulbar syndrome; bulbar syndrome; gastrostomy; nissen fundoplication
• Online Access: https://www.pedpharma.ru/jour/article/view/186
• ISSN: 1727-5776; 2500-3089

The article is dedicated to the issue of gastroesophageal reflux treatment in infants with neurological disorders, which remains insufficiently studied and unsettled. Bronchopulmonary complications in patients with gastroesophageal reflux are life-threatening, cause frequent aspiration pneumoniae and spontaneous apneas; therefore, operative correction is required in critical situations. The article presents results of operative treatment of 22 patients with different nervous system pathologies accompanied by gastroesophageal reflux disease. The authors have developed practical recommendations on the selection of surgical treatment tactics. The control group consisted of 10 infants and preschoolers with gastroesophageal reflux disease and central nervous system lesion, whose parents refused operative treatment for various reasons.