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2011, Number 6

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Rev Mex Pediatr 2011; 78 (6)

Gastrostomy and Nissen fundoplication in nutritional status of children with cerebral palsy

Ayala VH, Macías MM, Sotelo CN

Language: Spanish
References: 17
Page: 230-235
PDF size: 61.87 Kb.


ABSTRACT

Introduction. The cerebral palsy (CP) is the main cause of physical inhability and is frequently associated with difficult feeding and gastro-esophageal reflux (GER).
Objective. To know the role of Gastrostomy and Nissen fundoplication (NFD) in nutritional condition in children with CP.
Material and methods. We studied 55 CP children, and established two groups; one of 29 children treated with gastrostomy and NFD and other of 26 patients whiting surgical treatment. The variables were: Age, sex, pathological antecedents (neonatal hypoxia, meningitis, cranial trauma); malnourish evidences, weight percentile before and after of surgical procedures; laboratory test and office studies (hemoglobin, proteins, albumin, Barium esophago-gastroduodenal series, Chest X-Ray. Patients evolution. We used statistical package SSP 8.0.
Results. Male patients, 58.4%; the CP causes were neonatal hypoxia 41%, meningitis 27%, cranial trauma 9.1%. Showed severe malnourish, 45% and moderate malnourish, 21.8%. On the laboratory test, hemoglobin and albumin do not have correlation with malnourish, p = 0.7201 and p = 0.7083 respectively. Respect to treatment ten patients with gastrostomy improved weigth, p = 0.0427 and like the patients treated with NFD, p = 0.0018; the patients within surgery do not improve their weight.
The re-hospitalized causes were pneumonia, malnourish and seizures. The hospitalized time were short in patient with surgery. (18.8 vs 42.7 days). The mortality was 10.1%.
Conclusions. The use of gastrostomy and NFD improve the nutrition status in CP children and diminished the hospitalized time.


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