[Antireflux surgery in neurologically impaired children].
OBJECTIVE
To evaluate results of Nissen fundoplication in a neurologically impaired children population versus normal, considering symptoms improvement, general conditions, parents satisfaction, facility to assist the patient.


METHODS
57 patients were analysed, 38 neurologically impaired children (NL),19 neurologically normal children (NNL), that underwent fundoplication during six-year period (Feb '95-Dec '00). Mean age at surgery was 6,8 years (range 3 month- 18 years) for NL; 4,7 years for NNL (1 month- 15 years). We contact 31 family (19 NL, 12 NNL) before and after surgery and we subject them a questionnaire. For data analysis chi-squared test and Mann-Witney Rank Sum test has been used.


RESULTS
A significantly greater reduction of the vomit and regurgitation have been observed in both groups (p<0.5). Drooling was significantly reduced only in the NNL group (p<0.5) than in the NL group. Cough doesn't improved significantly in both groups (p>0.5). Major respiratory symptoms and respiratory infections improved significantly only in NL group (p<0.5). The parents satisfaction is high and patients management results easier.


CONCLUSIONS
The Nissen fundoplication in NL children is an effective procedure in order to obtain improvement on vomit; major respiratory symptoms and quality of caregivers management.
Leon
Francesco Fascetti
FF
Divisione di Chirurgia Pediatrica Università di Padova. extvdleon@hotmail.com
Gasparella
Marco
M
Gamba
Pier Giorgio
PG
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D018662:Fundoplication; D005764:Gastroesophageal Reflux / Q000150:complications* / Q000601:surgery*; D006801:Humans; D007223:Infant; D009422:Nervous System Diseases / Q000150:complications*