New tools in the treatment of motility disorders in children
Gastrointestinal motility disorders can develop in neurologically impaired children and those with congenital malformations of the gut. It is characterized by moderate to severe abdominal pain, vomiting, and failure to thrive. Antral dysmotility after fundoplication and increased sympathetic over activity are 2 factors associated with this condition that make it difficult to treat. This paper proposes a management strategy using metoclopramide, celiac plexus blockade, and thoracic splanchnectomy. It reviews our experience with 11 patients.
aDepartment of Paediatric Surgery, Royal Hospital for Sick Children, Glasgow, United Kingdom
bDepartment of Anaesthesia, Royal Hospital for Sick Children, Glasgow, United Kingdom
Address reprint requests and correspondence: Robert Carachi, MD, PhD, FRCS (Eng), FRCS (Glas), FEBPS, Division of Developmental Medicine, Section of Surgical Paediatrics, University of Glasgow, The Royal Hospital for Sick Children, Dalnair Street, Yorkhill, Glasgow G3 8SJ, Scotland, UK
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