© Springer International Publishing Switzerland 2017Christophe Faure, Nikhil Thapar and Carlo Di Lorenzo (eds.)Pediatric Neurogastroenterology10.1007/978-3-319-43268-7_31 31. Gastric Function After Fundoplication Samuel Nurko1 (1) Center for Motility and Functional Gastrointestinal Disorders, Children’s Hospital Boston, 300 Longwood Ave, Boston,…
Fig. 28.1 High-resolution esophageal manometry tracings recorded in patients with esophageal atresia. Aperistalsis pattern (a); distal (weak) contraction patterns (b, c). (d) A liquid swallow studied by high resolution/impedance in…
© Springer International Publishing Switzerland 2017Christophe Faure, Nikhil Thapar and Carlo Di Lorenzo (eds.)Pediatric Neurogastroenterology10.1007/978-3-319-43268-7_27 27. Familial Dysautonomia and Mitochondrial Disorders Massimo Martinelli1 and Annamaria Staiano1 (1) Department of Translational Medical Science, Section of Pediatrics, University of Naples…
Fig. 26.1 Examples of high-resolution esophageal manometry tracings in a control subject (a) and in two patients (b, c) affected by cerebral palsy. Note in (a) a normal esophageal tracing,…
Short segment 74–89 % Long segment 12–22 % Total colon 4–13 % Small bowel 3–5 % Clinical Presentation HSCR is debilitating and can be fatal. Clinical presentation is highly variable…
Fig. 23.1 Gastric emptying scan showing delayed gastric emptying with greater than 60 % and 10 % Tc 99 m sulfur colloid activity in the stomach at 2 h and…
Method of treatment Associated disorders Advantages Disadvantages Success Acid suppression DES, NE, NEMDs, SSc Relieves GERD symptoms May only treat GERD symptoms Low success in children Antibiotics Caustic ingestion, CIIP,…
Signs and symptoms • Coughing, choking, gagging with or after feeds • Wheezing, noisy or wet breathing • Blue spells, apneas, bradycardias • Feeding refusal, arching during feeds • Voice changes • Tearing and red eyes…
• Personal history of atopic disease especially occurring early in life (under 6 months of age) • Family history of atopic disease in parents or siblings • Presenting symptoms and signs indicative of…
Refluxate toxicity Gastric acid secretion Duodenogastric reflux Intrinsic gastric volume and pressure Gastric compliance Gastric emptying Gastric acid volume secretion Extrinsic pressure on gastric contents Weight (obesity) Somatic motor tone…
