| dcterms.contributor.author | Garzi, Alfredo | |
| dcterms.contributor.author | Ardimento, Gaetano | |
| dcterms.contributor.author | Ferrentino, Umberto | |
| dcterms.contributor.author | Brongo, Sergio | |
| dcterms.contributor.author | Di Crescenzo, Rosa Maria | |
| dcterms.contributor.author | Calabrò, Eleonora | |
| dcterms.contributor.author | Rubino, Maria Serena | |
| dcterms.contributor.author | Malamisura, Basilio | |
| dcterms.contributor.author | Clemente, Ennio | |
| dc.date.accessioned | 2020-06-30T10:07:09Z | |
| dc.date.available | 2020-06-30T10:07:09Z | |
| dcterms.date.issued | 2019 | |
| dcterms.identifier.citation | Garzi A, Ardimento G, Ferrentino U, Brongo S, Di Crescenzo RM, Calabrò E, Rubino MS, Malamisura B, Clemente E. Pre and post-operative ph-metry in videolaparoscopic surgery for gastro oesophageal reflux disease. Translational Medicine @ UniSa 2019, 20(5): 19-21. | it_IT |
| dcterms.identifier.issn | 2239-9747 | it_IT |
| dcterms.identifier.uri | http://www.translationalmedicine.unisa.it/index | it_IT |
| dcterms.identifier.uri | http://elea.unisa.it:8080/xmlui/handle/10556/4601 | |
| dcterms.identifier.uri | http://dx.doi.org/10.14273/unisa-2793 | |
| dc.description.abstract | Gastro-oesophageal reflux is
common in children, especially in the first year of life,
and it may be regarded as physiological. Good
functioning of the lower oesophageal sphincter depends
largely on the anatomical relationships between
oesophagus, stomach and diaphragm hiatus. Relative
immaturity of these structures in newborn babies and
young children is a risk factor in reflux disease, which
may result in a wide variety of typical and/or atypical
symptoms and, sometimes, serious complications such as
oesophagitis and stenosis.
Reflux disease may be diagnosed and studied,
basing on morphological and functional aspects and,
since the advent of pH-metry, it is possible to personalise
the therapeutic approach to children with reflux.
Surgical treatment of reflux disease in children
has recently been improved due to a mini-invasive
surgical approach. Absolute indications are recurrent
pneumonia, intractable pain due to oesophagitis and
retarded growth, often in association with neurological
impairment.
In the last three years, 18 children with reflux
disease underwent videolaparoscopic surgery in our
department, 14 by the Nissen and 4 by the Toupet
technique.
Post-operative pH-metry always showed a
reduction in exposure of the distal oesophagus to acid
(integral of H+) and an improvement in oesophageal
clearance (short refluxes percentage) indicative of good
functioning of the gastro-oesophageal junction.
PH-metry proved to be an invaluable technique
for planning therapeutic strategy. In follow-up
evaluations, it enabled us to monitor functioning of the
gastro-oesophageal junction and to avoid other more
difficult and invasive tests in patients with severe
neurological impairment. | it_IT |
| dcterms.format.extent | P. 19-21 | it_IT |
| dc.language.iso | en | it_IT |
| dcterms.source | UniSa. Sistema Bibliotecario di Ateneo | it_IT |
| dcterms.subject | Gastroesophageal reflux | it_IT |
| dcterms.subject | Videolaparoscopic surgery | it_IT |
| dcterms.subject | pH-metry | it_IT |
| dcterms.subject | Outcome | it_IT |
| dcterms.subject | Follow-up | it_IT |
| dcterms.title | Pre and post-operative ph-metry in videolaparoscopic surgery for gastro oesophageal reflux disease | it_IT |
| dcterms.type | Article | it_IT |
