Weight Gain and Growth After Fundoplication in the Pediatric Patient: A Case Report in the Pediatric Patient With Cystic Fibrosis and Literature Review.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
Allison GomesJane Ziegler

Abstract

Gastroesophageal reflux (GER) is common among infants, but when symptoms become troublesome, that is defined as gastroesophageal reflux disease (GERD). Making a diagnosis of GERD is difficult because there is no gold standard. GERD can be especially problematic for infants with cystic fibrosis (CF). There are signs and symptoms (ie, malnutrition, recurring aspiration pneumonias, refusal to eat, wheezing, coughing, and asthma) in addition to invasive and noninvasive methods used to determine a diagnosis. The treatments for GERD span from nonpharmacological to surgical, with a laparoscopic Nissen fundoplication being the gold standard of surgical intervention. Although surgical interventions have been demonstrated to reduce symptoms associated with GERD, there is little known about the weight/growth-related outcomes. This case report discusses an infant with CF and GERD requiring multiple interventions and ultimately a laparoscopic Nissen fundoplication and the weight changes from presurgery to postsurgery. The case report is expanded upon with a structured literature review of fundoplication and growth studies. There were 4 available studies that assessed changes in weight/growth before and after fundoplication among children wi...Continue Reading

References

Oct 1, 1965·Bulletin of the Chemical Society of Japan·K Fukui, M Nakayama
Aug 21, 2007·Journal of Pediatric Surgery·R Paul Boesch, James D Acton
Jul 30, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Femke A MauritzDavid C van der Zee
Jul 11, 2012·The American Journal of Gastroenterology·Ans PauwelsDaniel Sifrim
Sep 6, 2012·Pediatric Pulmonology·Shahid I SheikhKaren S McCoy
Nov 5, 2013·Jornal de pediatria·Cristina Targa FerreiraLuciana Rodrigues Silva
Apr 23, 2014·Pediatric Pulmonology·Erik A JensenHaresh Kirpalani
Jun 26, 2014·Annals of the American Thoracic Society·Newell Bryce Robinson, Emily DiMango
Mar 11, 2015·Archives of Disease in Childhood·John W Puntis
Jul 3, 2016·Surgical Endoscopy·Femke A MauritzM Y A van Herwaarden-Lindeboom
Mar 23, 2019·Pediatric Gastroenterology, Hepatology & Nutrition·Jeaneth Indira Gonzalez AyerbeYvan Vandenplas

❮ Previous
Next ❯

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.