Robotic-Assisted Minimally Invasive Total Esophagogastric Dissociation for Children with Severe Neurodisability

Girolamo Mattioli, Francesco Molinaro, Irene Paraboschi, Lorenzo Leonelli, Cinzia Mazzola, Serena Arrigo, Margherita Mancardi, Alessio Pini Prato, Rossella Angotti, Mario Messina, Adrian Bianchi

Research output: Contribution to journalArticlepeer-review


BACKGROUND: Around 70% of children with neurodisability (ND) present pharyngeal neuromuscular incoordination and severe gastroesophageal reflux disease (GORD).

METHODS: This is a pilot study with the Robotic-assisted minimally invasive total esophagogastric dissociation (TOGD).

RESULTS: We included 4 patients, 2 males and 2 females, with ND and severe GORD refractory to medical treatment.

CONCLUSIONS: Pharmacological management of GORD is often unsuccessful and antireflux surgery is common, but it has a high failure rate with symptom recurrence, requiring re-do surgery. TOGD is a good option for these patients.

Original languageEnglish
Pages (from-to)550-555
Number of pages6
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Issue number5
Publication statusPublished - May 2017


  • Adolescent
  • Child
  • Digestive System Surgical Procedures
  • Female
  • Gastroesophageal Reflux
  • Humans
  • Infant
  • Male
  • Nervous System Diseases
  • Pilot Projects
  • Robotic Surgical Procedures
  • Case Reports
  • Journal Article


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