Increased incidence of delayed gastric emptying in children with gastroesophageal reflux. A prospective evaluation

J. G. Papaila, D. Wilmont, J. L. Grosfeld, Frederick Rescorla, K. W. West, D. W. Vane

Research output: Contribution to journalArticle

78 Citations (Scopus)

Abstract

Symptomatic gastroesophageal reflux is a common cause of failure to thrive, aspiration, and chronic pulmonary infection in infants. Gastric emptying was prospectively evaluated in 99 infants and children with symptomatic gastroesophageal reflux. Twenty-eight (28.2%) of 99 patients with gastroesophageal reflux had delayed gastric emptying. Twenty-one (75%) of the 28 patients underwent a concomitant gastric drainage procedure at the time of fundoplication. Seven had fundoplication alone and developed symptoms of early satiety, gas bloat, gagging, and pain postoperatively. Medical therapy was ineffective in these patients, and 5 improved after pyloroplasty. Delayed gastric emptying is common in patients with gastroesphageal reflux. These findings suggest that after fundoplication, symptoms of gagging, early satiety, and gas-bload syndrome may be related to delayed gastric emptying. This implies that a gastric emptying study should be performed preoperatively.

Original languageEnglish
Pages (from-to)933-936
Number of pages4
JournalArchives of Surgery
Volume124
Issue number8
StatePublished - 1989

Fingerprint

Gastric Emptying
Gastroesophageal Reflux
Fundoplication
Gagging
Incidence
Gases
Failure to Thrive
Drainage
Stomach
Pain
Lung
Infection

ASJC Scopus subject areas

  • Surgery

Cite this

Papaila, J. G., Wilmont, D., Grosfeld, J. L., Rescorla, F., West, K. W., & Vane, D. W. (1989). Increased incidence of delayed gastric emptying in children with gastroesophageal reflux. A prospective evaluation. Archives of Surgery, 124(8), 933-936.

Increased incidence of delayed gastric emptying in children with gastroesophageal reflux. A prospective evaluation. / Papaila, J. G.; Wilmont, D.; Grosfeld, J. L.; Rescorla, Frederick; West, K. W.; Vane, D. W.

In: Archives of Surgery, Vol. 124, No. 8, 1989, p. 933-936.

Research output: Contribution to journalArticle

Papaila, JG, Wilmont, D, Grosfeld, JL, Rescorla, F, West, KW & Vane, DW 1989, 'Increased incidence of delayed gastric emptying in children with gastroesophageal reflux. A prospective evaluation', Archives of Surgery, vol. 124, no. 8, pp. 933-936.
Papaila, J. G. ; Wilmont, D. ; Grosfeld, J. L. ; Rescorla, Frederick ; West, K. W. ; Vane, D. W. / Increased incidence of delayed gastric emptying in children with gastroesophageal reflux. A prospective evaluation. In: Archives of Surgery. 1989 ; Vol. 124, No. 8. pp. 933-936.
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