ABSTRACT
Pathologic aerophagia is sometimes seen in patients with neurologic disorders. It rarely causes massive bowel distention, ileus, and volvulus. Here, we report the use of esophagogastric separation and abdominal esophagostomy via jejunal interposition to prevent bowel distention caused by severe aerophagia in 2 patients with neurologic disorders in whom the usual nonoperative methods of management failed. In both cases, swallowed air was evacuated via the jejunostomy, eliminating bowel distention. This operation may be useful in patients with neurologic disorders associated with severe aerophagia.
Subject(s)
Aerophagy/surgery , Esophagogastric Junction/surgery , Esophagostomy/methods , Jejunostomy/methods , Abnormalities, Multiple , Adolescent , Aerophagy/etiology , Anastomosis, Surgical , Cytomegalovirus Infections/complications , Encephalitis, Viral/complications , Gastrostomy , Humans , Intellectual Disability/complications , Intestinal Volvulus/etiology , Intestinal Volvulus/prevention & control , Intestinal Volvulus/surgery , Kidney Neoplasms , Male , Pylorus/surgery , Reoperation , Surgical Stapling , Surgically-Created Structures , Vagotomy/methods , Wilms TumorSubject(s)
Aerophagy/veterinary , Horse Diseases/surgery , Muscle Denervation/veterinary , Pharynx/surgery , Stereotyped Behavior , Aerophagy/surgery , Age Factors , Animals , Female , Follow-Up Studies , Horses , Male , RecurrenceSubject(s)
Accessory Nerve/surgery , Aerophagy/veterinary , Horse Diseases/surgery , Muscles/surgery , Neck Muscles/surgery , Aerophagy/surgery , Anesthesia, General/veterinary , Animals , Female , Horses , Humans , MaleABSTRACT
Bilateral neurectomy of the ventral branch of the spinal accessory nerve was performed in an attempt to control windsuckling. There was no permanent improvement in the eight cases described.
