New tools in the treatment of motility disorders in children.
Gastrointestinal motility disorders can develop in neurologically impaired children and those with congenital malformations of the gut. It is characterized by moderate to severe abdominal pain, vomiting, and failure to thrive. Antral dysmotility after fundoplication and increased sympathetic over activity are 2 factors associated with this condition that make it difficult to treat. This paper proposes a management strategy using metoclopramide, celiac plexus blockade, and thoracic splanchnectomy. It reviews our experience with 11 patients.
Carachi
Robert
R
Department of Paediatric Surgery, Royal Hospital for Sick Children, Glasgow, United Kingdom. R.Carachi@clinmed.gla.ac.uk
Currie
John M
JM
Steven
Mairi
M
D001340:Autonomic Nerve Block; D002447:Celiac Plexus; D002648:Child; D002675:Child, Preschool; D018492:Dopamine Antagonists / Q000627:therapeutic use*; D005769:Gastrointestinal Motility; D006801:Humans; D007410:Intestinal Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D008787:Metoclopramide / Q000627:therapeutic use*; D013153:Splanchnic Nerves; D013562:Sympathectomy
D018492:Dopamine Antagonists; D008787:Metoclopramide