Evaluación de la gastrostomía percutánea con funduplicatura de nissen mínimamente invasiva versus cirugía abierta, en niños con parálisis cerebral infantil.

Abstract

Introduction: Children with Infantile Cerebral Palsy (ICP) have severe nutriotinal disorders due to gastroin- testinal symptoms such as gastroesophageal reflux (GER). The objective of the present study was to compar minimally invasive Percutaneous gastrostomy techniques with Nissen FunduplicatureM(I-NF) versus open surgery (OS-NF) for the treatment of gastroesophageal reflux and swallowing disorders in children with chil brain paralysis. Methodology: This observational study with non-probabilistic sampling included children with ICP swallow- ing disorders and GER at the Dr. Roberto Gilbert Elizalde Children's Hospital in Guayaqu-ilEcuador from 2017 to 2022. Age, type of surgery, complications, feeding start time, symptoms, and comorbidities. A descripti analysis is performed. A second analysis compares patients treated witMh I-NF + Percutaneous Gastrostomy versus OS-NF + Stamm-type gastrostomy. Results: 62 cases were included, 40 men (64.5%), <3 years old 39 patients (62.9%); severe malnutrition in cases (61.4%), 13 cases (29.5%) were admitted for an episode of pneumonia; 52 patients wiOthS-NF and 10 with MI-NF. The start of feeding at 48 hours in the MI-NF group was 8 cases (80%); inOS-NF, 3 cases (5.8%) P<0.0001. There were no differences in age and complications between the groups Conclusion: With the technique ofpercutaneous gastrostomy withMI-NF, there was a minimum time when the patients started feeding through the gastrostomy tube.