{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:13:32Z","timestamp":1760955212585},"reference-count":9,"publisher":"Wiley","issue":"S452","license":[{"start":{"date-parts":[[2007,1,2]],"date-time":"2007-01-02T00:00:00Z","timestamp":1167696000000},"content-version":"vor","delay-in-days":185,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2006,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Cerebral palsy (CP) is a non\u2010progressive but not unchanging disorder of movement and\/or posture, due to an insult to or anomaly of the developing brain. Gastrointestinal surgery can play a role in the treatment of pathologies frequently associated with a condition of neurological impairment such as gastro\u2010oesophageal reflux disease (antireflux procedure), feeding difficulties (percutaneous endoscopic gastrostomy\/jejunostomy) and swallowing difficulties (ligation of salivary gland ducts). Gastro\u2010oesophageal reflux occurs in up to 70\u201375% of children with cerebral palsy. Children with gastro\u2010oesophageal reflux disease (GERD) may present with feeding difficulties, recurrent vomiting and recurrent chest infection associated with poor growth and nutrition, reactive airway disease particularly nocturnal asthma, choking attacks, anaemia, and wheezing. Nutritional deprivation in children with cerebral palsy is the summation of several factors which result in reduced intake. Percutaneous endoscopic gastrostomy (PEG) has radically changed the handling of children with nutritional problems who, before the introduction of this procedure, were force fed parenterally or enterally, by nasogastric tube, conventional surgical gastrostomy or central venous access. In children with CP, PEG is the preferred technique for long\u2010term enteral feeding. Swallowing dysfunction is the main cause of drooling in cerebral palsy, and medical treatment is often inefficient. Surgical treatment involves neurectomy, translocation of the salivary duct, salivary gland resection or salivary duct (parotid and submandibular) ligation.\u2028<\/jats:p><jats:p> <jats:bold>Conclusion<\/jats:bold>: This review focuses on the role of surgery in managing gastrointestinal aspects in children with CP and, in particular, surgical experience at our department with fundoplication, PEG placement and ligation of salivary ducts.<\/jats:p>","DOI":"10.1111\/j.1651-2227.2006.tb02413.x","type":"journal-article","created":{"date-parts":[[2010,8,6]],"date-time":"2010-08-06T22:48:54Z","timestamp":1281134934000},"page":"34-37","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Surgery in disabled children: General gastroenterological aspects"],"prefix":"10.1111","volume":"95","author":[{"given":"Emanuela","family":"Ceriati","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"De Peppo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guido","family":"Ciprandi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Marchetti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimiliano","family":"Silveri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Rivosecchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,1,2]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.204"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0387-7604(99)00025-X"},{"key":"e_1_2_2_4_2","first-page":"41","article-title":"Hiatus hernia and gastro\u2010oesophageal reflux in children and adolescents with cerebral palsy","volume":"6","author":"Abrahams P","year":"1970","journal-title":"Aust Paediatr J"},{"key":"e_1_2_2_5_2","first-page":"659","article-title":"Chirurgie de la hernie hiatale et du syndrome de reflux. La fundoplicature et la gastropexie","volume":"83","author":"Nissen MMR","year":"1962","journal-title":"J Chir"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(84)80280-8"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2002.120389"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(80)80296-X"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2002.30267"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.7.796"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1651-2227.2006.tb02413.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1651-2227.2006.tb02413.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T11:09:27Z","timestamp":1695812967000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1651-2227.2006.tb02413.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,7]]},"references-count":9,"journal-issue":{"issue":"S452","published-print":{"date-parts":[[2006,7]]}},"alternative-id":["10.1111\/j.1651-2227.2006.tb02413.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1651-2227.2006.tb02413.x","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"value":"0803-5253","type":"print"},{"value":"1651-2227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,7]]},"assertion":[{"value":"2007-01-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}