title: Robotic-Assisted Minimally Invasive Total Esophagogastric Dissociation for Children with Severe Neurodisability.
abstract: BACKGROUND
  Around 70% of children with neurodisability (ND) present pharyngeal neuromuscular incoordination and severe gastroesophageal reflux disease (GORD).
  
  
  METHODS
  This is a pilot study with the Robotic-assisted minimally invasive total esophagogastric dissociation (TOGD).
  
  
  RESULTS
  We included 4 patients, 2 males and 2 females, with ND and severe GORD refractory to medical treatment.
  
  
  CONCLUSIONS
  Pharmacological management of GORD is often unsuccessful and antireflux surgery is common, but it has a high failure rate with symptom recurrence, requiring re-do surgery. TOGD is a good option for these patients.
authors.affiliation: 1 Pediatric Surgery Unit, DINOGMI, Giannina Research Institute and Children Hospital, University of Genova , Genova, Italy .
authors.forename: Girolamo
authors.initials: G
authors.lastname: Mattioli
authors.affiliation: 2 Pediatric Surgery Unit, Department of Medical Sciences, Surgery, and Neuroscience, University of Siena , Siena, Italy .
authors.forename: Francesco
authors.initials: F
authors.lastname: Molinaro
authors.affiliation: 1 Pediatric Surgery Unit, DINOGMI, Giannina Research Institute and Children Hospital, University of Genova , Genova, Italy .
authors.forename: Irene
authors.initials: I
authors.lastname: Paraboschi
authors.affiliation: 1 Pediatric Surgery Unit, DINOGMI, Giannina Research Institute and Children Hospital, University of Genova , Genova, Italy .
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Leonelli
authors.affiliation: 1 Pediatric Surgery Unit, DINOGMI, Giannina Research Institute and Children Hospital, University of Genova , Genova, Italy .
authors.forename: Cinzia
authors.initials: C
authors.lastname: Mazzola
authors.affiliation: 1 Pediatric Surgery Unit, DINOGMI, Giannina Research Institute and Children Hospital, University of Genova , Genova, Italy .
authors.forename: Serena
authors.initials: S
authors.lastname: Arrigo
authors.affiliation: 1 Pediatric Surgery Unit, DINOGMI, Giannina Research Institute and Children Hospital, University of Genova , Genova, Italy .
authors.forename: Margherita
authors.initials: M
authors.lastname: Mancardi
authors.affiliation: 1 Pediatric Surgery Unit, DINOGMI, Giannina Research Institute and Children Hospital, University of Genova , Genova, Italy .
authors.forename: Alessio
authors.initials: A
authors.lastname: Pini Prato
authors.affiliation: 2 Pediatric Surgery Unit, Department of Medical Sciences, Surgery, and Neuroscience, University of Siena , Siena, Italy .
authors.forename: Rossella
authors.initials: R
authors.lastname: Angotti
authors.affiliation: 2 Pediatric Surgery Unit, Department of Medical Sciences, Surgery, and Neuroscience, University of Siena , Siena, Italy .
authors.forename: Mario
authors.initials: M
authors.lastname: Messina
authors.affiliation: 3 Neonatal Surgery, Royal Manchester Children's University Hospital , Manchester, United Kingdom .
authors.forename: Adrian
authors.initials: A
authors.lastname: Bianchi
mesh_terms: D000293:Adolescent; D002648:Child; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D009422:Nervous System Diseases / Q000150:complications; D010865:Pilot Projects; D065287:Robotic Surgical Procedures / Q000379:methods*
keywords: gastroesophageal reflux; robotic-assisted minimally invasive total esophagogastric dissociation; severe neurodisability