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Is prophylactic fundoplication necessary in neurologically impaired children?

著者 Viswanath N , Wong D , Channappa D , Kukkady A , Brown S , Samarakkody U
Eur J Pediatr Surg.2010 Jul ; 20(4):226-9.
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Previously, concomitant antireflux surgery was performed in all neurologically impaired children undergoing gastrostomy tube placement in our department. This fundoplication procedure, not necessarily performed for symptomatic gastroesophageal reflux, increased the postoperative complications. This practice was changed and fundoplication was offered to only those children who had clear surgical indications for an antireflux procedure on follow-up after a feeding gastrostomy.
PMID: 20496317 [PubMed - indexed for MEDLINE]
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