Elsevier, Journal of Pediatric Surgery, 10(47), p. 1922-1925
DOI: 10.1016/j.jpedsurg.2012.07.006
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The clinical scenario of a neurologically impaired child with a prolonged history of gastroesophageal reflux disease that underwent open Roux-en-Y gastrojejunostomy with subsequent development of severe symptomatic bile reflux is reported. The presentation, evaluation, and surgical management by laparoscopic revision to a modified esophagogastric dissociation are discussed.