title: Dysphagia in children: a paediatric surgical perspective.
abstract: Dysphagia in childhood encompasses all disorders of swallowing. The patient groups seen frequently in paediatric surgical practice are those with repaired oesophageal atresia, some patients with gastro-oesophageal reflux disease and those with neurological impairment. Oesophageal atresia patients frequently experience dysphagia that is most troublesome in early childhood, fortunately for most the long-term outlook is good. Gastro-oesophageal reflux may give rise to dysphagia as a result of peptic structure, dysmotility associated with oesophagitis or as a complication of anti-reflux surgery. Children with neurological impairment and swallowing problems are very difficult for their carers to manage. Gastrostomy represents a pragmatic solution to their nutritional needs.
authors.affiliation: Department of Paediatric Surgery, Royal Hospital for Sick Children, Edinburgh, UK. fdmunro@rcsed.ac.uk
authors.forename: Fraser D
authors.initials: FD
authors.lastname: Munro
mesh_terms: D001927:Brain Diseases / Q000150:complications; D002648:Child; D003680:Deglutition Disorders / Q000150:complications / Q000209:etiology / Q000601:surgery*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D009748:Nutrition Disorders / Q000209:etiology