Nissen Fundoplication

Background. Nissen Fundoplication (NF) has a relatively high failure rate in nerologically impaired children with grastroesophageal reflux (GERD). In 1990 we began to use routine technetium 99m sulfur colloid emptying scans and pyloroplasy with NF for delayed gastric emptying (DGE) in our neurologically impaired patients.  The aim of this study was to determine the influence of DGE and pyloroplasty on the outcome of NF in neurologically impaired children.

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