Dysphagia

, Volume 7, Issue 4, pp 234–237

Oral dysfunction following nissen fundoplication

  • Stephen M. Borowitz
  • Kathleen C. Borowitz
Article

Abstract

In this case report we describe a child with mild neurologic impairment who developed debilitating gagging and retching, and severe oralmotor dysfunction following Nissen fundoplication and gastrostomy tube placement. All oral intake ceased after the operation. Evaluation for postoperative dumping syndrome was negative, and the child's symptoms failed to improve despite numerous medical and surgical measures. However, immediately following reversal of the Nissen fundoplication, the child's gagging and retching ceased, and his oral-motor function began to improve. This is a previously undescribed complication of Nissen fundoplication, a surgical procedure commonly employed in children with neurologic impairment.

Key words

Nissen fundoplication Developmental delay Oral-motor function Dysphagia Gastroesophageal reflux Deglutition Deglutition disorders 

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Copyright information

© Springer-Verlag New York Inc 1992

Authors and Affiliations

  • Stephen M. Borowitz
    • 1
  • Kathleen C. Borowitz
    • 1
  1. 1.Department of Pediatrics, Divisions of Gastroenterology and Speech PathologyUniversity of Virginia Health Sciences CenterCharlottesvilleUSA

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