L. Dall'Oglio et al., A new and successful chance in surgical treatment of gastrooesophageal reflux in severely neurologically impaired children: Bianchi's procedure, EUR J PED S, 10(5), 2000, pp. 291-294
Aim: Neurologically impaired (NI) children present with neuromuscular incoo
rdination and severe gastroesophageal reflux (CER). In these cases, Bianchi
has proposed total oesophagogastric dissociation (OGD) as a primary proced
ure and not only after failed fundoplication.
Methods: Anthropometric and laboratory data, incidence of respiratory sympt
oms, days of hospitalisation, time of feeding, stool frequency and quality
of life were tested preoperatively and after OGD over a 12-month period in
13 severe NI patients.
Results: Results are shown in Table 1. We also recorded improvement in qual
ity of life, based on communication by the person responsible for the care
of the subject, and determined by psychological interviews.
Conclusions: OGD is a successful and feasible procedure and can be included
as a primary definitive surgical treatment in individualised nutritional r
ehabilitation planning for each severe NI child.