Increased incidence of delayed gastric emptying in children with gastroesophageal reflux. A prospective evaluation
| Autor: | Dennis W. Vane, Karen W. West, Frederick J. Rescorla, John G. Papaila, Jay L. Grosfeld, David Wilmot |
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| Rok vydání: | 1989 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Respiratory Tract Diseases Scintigraphy Gastroenterology Pyloroplasty Postoperative Complications Internal medicine medicine Humans Prospective Studies Child Gastric emptying medicine.diagnostic_test business.industry Incidence (epidemiology) digestive oral and skin physiology Reflux Infant Newborn Infant digestive system diseases Surgery Failure to Thrive El Niño Gastric Emptying Concomitant Child Preschool Failure to thrive Gastroesophageal Reflux Female medicine.symptom business |
| Zdroj: | Archives of surgery (Chicago, Ill. : 1960). 124(8) |
| ISSN: | 0004-0010 |
| Popis: | • Symptomatic gastroesophageal reflux is a common cause of failure to thrive, aspiration, and chronic pulmonary infection in infants. Gastric emptying was prospectively evaluated in 99 infants and children with symptomatic gastroesophageal reflux. Twenty-eight (28.2%) of 99 patients with gastroesophageal reflux had delayed gastric emptying. Twenty-one (75%) of the 28 patients underwent a concomitant gastric drainage procedure at the time of fundoplication. Seven had fundoplication alone and developed symptoms of early satiety, gas bloat, gagging, and pain postoperatively. Medical therapy was ineffective in these patients, and 5 improved after pyloroplasty. Delayed gastric emptying is common in patients with gastroesophageal reflux. These findings suggest that after fundoplication, symptoms of gagging, early satiety, and gas-bloat syndrome may be related to delayed gastric emptying. This implies that a gastric emptying study should be performed preoperatively. ( Arch Surg . 1989;124:933-936) |
| Databáze: | OpenAIRE |
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