Protective antireflux operation with feeding gastrostomy. Experience with XXXX .

@entity1 @entity3685 @entity391 @entity354
Regurgitation and aspiration of feedings is a significant problem in @entity1 with impaired oral intake fed via gastrostomy. Using extended (18-24 hour) esophageal pH monitoring to assess @entity354 ( @entity354 ), we studied prospectively 32 @entity1 (aged 2 to 16 years) referred for feeding gastrostomy. Twenty-five @entity1 had repeat esophageal pH monitoring after surgery. Prior to surgery, @entity354 was documented in 23 (72%) of the 32 @entity1 . Twenty-two of the 23 @entity1 with @entity354 before surgery had an antireflux operation performed in conjunction with the feeding gastrostomy. @entity354 was clinically significant in the single failed antireflux operation and in the @entity1 with @entity354 before surgery who only had a gastrostomy performed. All nine @entity1 without @entity354 only had gastrostomy performed. Six of these developed @entity354 by pH monitoring after surgery, with significant @entity391 in four. Of our 11 @entity1 remaining at risk for @entity354 after surgery, seven (64%) had persistent @entity391 with @entity3685 . Thus, 91% (29 of 32) of the @entity1 were potentially at risk for @entity354 if a gastrostomy only was performed. We believe these data support the need for a "protective" antireflux operation in @entity1 referred for feeding gastrostomy.
