title: [Gastroesophageal reflux in neurologically impaired children].
abstract: We present here the indication, procedure and results of surgical treatment of gastroesophageal reflux (GER) for neurologically impaired children. We decide its indication based on clinical symptoms and findings of upper GI series, esophageal pH monitoring and GI fiberscopy, respecting the QOL of the patient and family. Laparoscopic fundoplication has become the first choice in surgical treatment of GER because of its good results. However, an anti-reflux procedure is not effective in patients with intractable aspiration. A laryngotracheal separation procedure should be applied for these cases.
authors.affiliation: Department of Pediatric Surgery, Tohoku University, School of Medicine, Sendai, Miyagi. yoshida@ped-surg.med.tohoku.ac.jp
authors.forename: Shigehiko
authors.initials: S
authors.lastname: Yoshida
authors.forename: Takamichi
authors.initials: T
authors.lastname: Kamiyama
authors.forename: Masaki
authors.initials: M
authors.lastname: Nio
authors.forename: Ryoji
authors.initials: R
authors.lastname: Ohi
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Sano
authors.forename: Naobumi
authors.initials: N
authors.lastname: Endo
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D019988:Children with Disabilities; D005260:Female; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000517:prevention & control / Q000601:surgery*; D005774:Gastrostomy; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D008297:Male; D011788:Quality of Life; D016896:Treatment Outcome