Babies with brain damage who can not swallow: Surgical management

Sidney V. Da Silva, Augusto F.S. Schmidt, Maria A. Mezzacappa, Sérgio T. Marba, Joaquim M. Bustorff-Silva, Lourenço Sbragia

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background: Neonates with severe neurological impairment are often unable to swallow, necessitating gastrostomy for feeding. Because of the risk of developing severe reflux, this procedure is often associated with fundoplication. Objective: To assess the safety and efficacy of gastrostomy and Nissen fundoplication in 22 neonates with swallowing difficulties due to serious neurological impairment. Method: All children underwent an initial period of nasogastric feeding and after informed consent underwent gastrostomy and Nissen fundoplication. Results: There were no significant intraoperative complications. There were two cases of postoperative periostomy leakage. Of the 22 neonates 16 were alive four months after surgery. Six neonates died of complications due to underlying disease. Conclusion: We concluded that gastrostomy and Nissen fundoplication are safe procedures and help parents give a better care to these children.

Original languageEnglish (US)
Pages (from-to)641-645
Number of pages5
JournalArquivos de Neuro-Psiquiatria
Issue number3 B
StatePublished - 2008
Externally publishedYes


  • Brain damage
  • Fundoplication
  • Gastroesophageal reflux
  • Gastrostomy
  • Newborn

ASJC Scopus subject areas

  • Clinical Neurology
  • Biological Psychiatry


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