Increased Incidence of Delayed Gastric Emptying in Children With Gastroesophageal Reflux: A Prospective Evaluation

John G. Papaila, David Wilmot, Jay L. Grosfeld, Frederick J. Rescorla, Karen W. West, Dennis W. Vane

Research output: Contribution to journalArticle

79 Scopus citations

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 (US)
Pages (from-to)933-936
Number of pages4
JournalArchives of Surgery
Volume124
Issue number8
DOIs
StatePublished - Aug 1989

ASJC Scopus subject areas

  • Surgery

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