A modified laparoscopic esophagogastric dissociation for severe bile reflux in a neurologically impaired child.
The clinical scenario of a neurologically impaired child with a prolonged history of gastroesophageal reflux disease that underwent open Roux-en-Y gastrojejunostomy with subsequent development of severe symptomatic bile reflux is reported. The presentation, evaluation, and surgical management by laparoscopic revision to a modified esophagogastric dissociation are discussed.
Department of Surgery, San Antonio Military Medical Center, Fort Sam Houston, Texas, USA. sfenton1@me.com
Stephen J
SJ
Fenton
Colleen M
CM
Fitzpatrick
D001655:Bile Reflux / Q000150:complications / Q000601:surgery*; D002547:Cerebral Palsy / Q000150:complications; D002648:Child; D013505:Digestive System Surgical Procedures / Q000379:methods; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D012720:Severity of Illness Index; D013270:Stomach / Q000601:surgery*