Around 70% of children with neurodisability (ND) present pharyngeal neuromuscular incoordination and severe gastroesophageal reflux disease (GORD).
Methods:
This is a pilot study with the Robotic-assisted minimally invasive total esophagogastric dissociation (TOGD).
Results:
We included 4 patients, 2 males and 2 females, with ND and severe GORD refractory to medical treatment.
Conclusions:
Pharmacological management of GORD is often unsuccessful and antireflux surgery is common, but it has a high failure rate with symptom recurrence, requiring re-do surgery. TOGD is a good option for these patients.
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