Gastrointestinal tract feeding access and the role of fundoplication in combination with gastrostomy

Purpose of review Feeding access and associated antireflux procedures continue to be some of the most common operations performed in pediatric patients. This review will discuss the various feeding access procedures available, including minimally invasive techniques, and further elaborate on appropriate indications for a concurrent antireflux procedure as well as alternatives to fundoplication. Recent findings Gastrostomy and jejunostomy can be successfully placed using endoscopic or laparoscopic techniques with low complication rates. Nissen fundoplication is well described laparoscopically but failure with recurrent gastroesophageal reflux has resulted in the development of other operative alternatives. Summary Decisions concerning appropriate long-term feeding access must be individualized, understanding the advantages and disadvantages of gastrostomy and jejunostomy techniques. Laparoscopic Nissen fundoplication is successful for treatment of patients who fail medical therapy of gastroesophageal reflux, but recurrent gastroesophageal reflux is a persistent problem that requires innovative solutions.

[1]  K. Georgeson,et al.  U-stitch laparoscopic gastrostomy technique has a low rate of complications and allows primary button placement: experience with 461 pediatric procedures. , 2006, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[2]  K. Georgeson,et al.  Revision Nissen fundoplication can be completed laparoscopically with a low rate of complications: a single-institution experience with 72 children. , 2006, Journal of pediatric surgery.

[3]  D. Flum,et al.  Do Antireflux Operations Decrease the Rate of Reflux-Related Hospitalizations in Children? , 2006, Pediatrics.

[4]  A. Okada,et al.  One-trocar laparoscopy-aided gastrostomy in handicapped children. , 2006, Journal of pediatric surgery.

[5]  R. Burd,et al.  National Trends in the Use of Antireflux Procedures for Children , 2006, Pediatrics.

[6]  T. Mala,et al.  Percutaneous Endoscopic Gastrostomy in Children: A Safe Technique with Major Symptom Relief and High Parental Satisfaction , 2006, Journal of pediatric gastroenterology and nutrition.

[7]  M. Raval,et al.  Optimal enteral feeding in children with gastric dysfunction: surgical jejunostomy vs image-guided gastrojejunal tube placement. , 2006, Journal of pediatric surgery.

[8]  M. Petersen,et al.  Eating and feeding are not the same: caregivers' perceptions of gastrostomy feeding for children with cerebral palsy. , 2006, Developmental medicine and child neurology.

[9]  D. van der Zee,et al.  Endoscopic gastrostomy placement in the child with gastroesophageal reflux: is concomitant antireflux surgery indicated? , 2006, Journal of pediatric surgery.

[10]  J. Silny,et al.  Twenty-Four-Hour Esophageal Impedance-pH Monitoring in Healthy Preterm Neonates: Rate and Characteristics of Acid, Weakly Acidic, and Weakly Alkaline Gastroesophageal Reflux , 2006, Pediatrics.

[11]  P. Sullivan,et al.  Does gastrostomy tube feeding in children with cerebral palsy increase the risk of respiratory morbidity? , 2006, Archives of Disease in Childhood.

[12]  E. Arnbjörnsson,et al.  No increase in gastroesophageal reflux after laparoscopic gastrostomy in children , 2006, Pediatric Surgery International.

[13]  R. Lo Piccolo,et al.  Total esophagogastric dissociation: 10 years' review. , 2006, Journal of pediatric surgery.

[14]  L. Carr,et al.  Medical, surgical, and health outcomes of gastrostomy feeding , 2006, Developmental medicine and child neurology.

[15]  A. Catto-Smith,et al.  Morbidity and mortality after percutaneous endoscopic gastrostomy in children with neurological disability , 2006, Journal of gastroenterology and hepatology.

[16]  S. Schwarz,et al.  Gastroesophageal reflux in infancy and childhood. , 2006, Pediatric annals.

[17]  D. Bensard,et al.  Preservation of an Aberrant Left Hepatic Artery During Laparoscopic Nissen Fundoplication , 2006, JSLS : Journal of the Society of Laparoendoscopic Surgeons.

[18]  E. Bouffet,et al.  Risk of Ventriculoperitoneal Shunt Infections due to Gastrostomy Feeding Tube Insertion in Pediatric Patients with Brain Tumors , 2006, Pediatric Neurosurgery.

[19]  R. Lo Piccolo,et al.  Total oesophagogastric dissociation: experience in 2 centres. , 2006, Journal of pediatric surgery.

[20]  M. Konrad,et al.  Percutaneous Endoscopic Gastrostomy in Children on Peritoneal Dialysis , 2006, Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis.

[21]  D. George,et al.  Should single-stage PEG buttons become the procedure of choice for PEG placement in children? , 2004, Gastrointestinal endoscopy.

[22]  S. Rothenberg.  Laparoscopic redo Nissen fundoplication in infants and children , 2006, Surgical Endoscopy And Other Interventional Techniques.

[23]  A. Settimi,et al.  Long-term outcome of laparoscopic Nissen, Toupet, and Thal antireflux procedures for neurologically normal children with gastroesophageal reflux disease , 2006, Surgical Endoscopy And Other Interventional Techniques.

[24]  H. Rode,et al.  Gastroesophageal reflux strictures in children, management and outcome , 2005, Pediatric Surgery International.

[25]  R. Ricketts,et al.  Antireflux Surgery Outcomes in Pediatric Gastroesophageal Reflux Disease , 2005, The American Journal of Gastroenterology.

[26]  D. Partrick,et al.  Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy in Children and Adolescents , 2005, JSLS : Journal of the Society of Laparoendoscopic Surgeons.

[27]  B. Khalil,et al.  Esophagogastric dissociation in the neurologically impaired: an alternative to fundoplication? , 2005, Journal of pediatric surgery.

[28]  E. Webber,et al.  Laparoscopic vs percutaneous endoscopic gastrostomy tube insertion: a new pediatric gold standard? , 2005, Journal of pediatric surgery.

[29]  H. Neuman,et al.  Laparoscopic Roux-en-Y feeding jejunostomy: a new minimally invasive surgical procedure for permanent feeding access in children with gastric dysfunction. , 2005, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[30]  B. Gold.  Asthma and gastroesophageal reflux disease in children: exploring the relationship. , 2005, The Journal of pediatrics.

[31]  A. Thomas,et al.  Gastrostomy tube feeding in children with cerebral palsy: a prospective, longitudinal study , 2005, Developmental medicine and child neurology.

[32]  S. Mitchell,et al.  The Limitations of Gastro-Jejunal (G-J) Feeding Tubes in Children: A 9-Year Pediatric Hospital Database Analysis , 2005, The American Journal of Gastroenterology.

[33]  D. Teitelbaum,et al.  Stretta as the initial antireflux procedure in children. , 2005, Journal of pediatric surgery.

[34]  C. Esposito,et al.  Laparoscopic-assisted jejunostomy: an effective procedure for the treatment of neurologically impaired children with feeding problems and gastroesophageal reflux. , 2005, Surgical endoscopy.

[35]  A. Settimi,et al.  Laparoscopic-assisted jejunostomy , 2005, Surgical Endoscopy And Other Interventional Techniques.

[36]  V. Tolia,et al.  Gastroesophageal Reflux Disease: Review of Presenting Symptoms, Evaluation, Management, and Outcome in Infants , 2003, Digestive Diseases and Sciences.

[37]  A. Settimi,et al.  Risks and benefits of surgical management of gastroesophageal reflux in neurologically impaired children , 2003, Surgical Endoscopy And Other Interventional Techniques.

[38]  H. H. Lawson.  The lesser curvature of the stomach , 1968, The British journal of surgery.