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Laparoscopic fundoplication for a child with abdominal intrathecal Baclofen pump
Author(s) -
Okata Yuichi,
Bitoh Yuko,
Aida Yosuke,
Miyauchi Harunori,
Nakatani Taichi,
Tomioka Yuichiro
Publication year - 2020
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12752
Subject(s) - medicine , surgery , baclofen , asymptomatic , reflux , spasticity , cerebral palsy , gastrostomy , anesthesia , intrathecal , pneumonia , disease , receptor , psychiatry , agonist
This is the first case report describing a laparoscopic fundoplication in a child with an intrathecal Baclofen pump which was inserted because of severe spasticity secondary to cerebral palsy. The child had symptoms of gastroesophageal reflux with recurrent episodes of aspiration pneumonia. These were managed with a gastrostomy and conservative therapy with no success. The presence of an intrathecal Baclofen pump makes abdominal surgery challenging and carries the risk of pump infection with its associated sequelae. However, we performed a successful laparoscopic fundoplication with no intraoperative complications and the child was asymptomatic at 18 months follow‐up.