Impact of laparoscopic anterior 270° fundoplication on the quality of life and symptoms profile of neurodevelopmentally delayed versus neurologically unimpaired children and their parents

Engelmann, C; Gritsa, Stella; Ure, Benno M.

doi:10.1007/s00464-009-0762-2

Cited by 27 publications

(33 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although NI children are more susceptible to peri-and post-operative complications, it appears that a good quality of life (QOL) and high index of satisfaction can be achieved for both NI and non-NI patients who undergo fundoplications [16,17]. In the pediatric population, the use of anti-reflux medications generally decreases after a Nissen fundoplication but may remain relatively unchanged in NI children [18].…”

Section: Discussionmentioning

confidence: 98%

Effectiveness of a transluminal endoscopic fundoplication for the treatment of pediatric gastroesophageal reflux disease

2011

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 98%

Effectiveness of a transluminal endoscopic fundoplication for the treatment of pediatric gastroesophageal reflux disease

2011

View full text Add to dashboard Cite

show abstract

“…Furthermore, age at the time of operation is a significant predictor for improvement in HRQoL after LARS. Previous studies also showed a significant increase in HRQoL [10–12]. In two studies [10, 11], a questionnaire designed for adults had been modified for pediatric use and the third study only used parental proxy report.…”

Section: Discussionmentioning

confidence: 99%

“…These studies almost all showed that HRQoL improves after LARS [7–9]. In the pediatric population, only few studies have focused on this outcome parameter [10–12]. HRQoL in these studies improves; however, none of these studies have used pediatric validated questionnaires.…”

mentioning

confidence: 99%

“…HRQoL in these studies improves; however, none of these studies have used pediatric validated questionnaires. In two studies [10, 11], a questionnaire designed for adults had been modified for pediatric use and one study had only used parental proxy report to score HRQoL [12]. Furthermore, none of these studies could identify determinants that influence HRQoL outcome after LARS.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic antireflux surgery increases health-related quality of life in children with GERD

et al. 2016

View full text Add to dashboard Cite

IntroductionImproving health-related quality of life (HRQoL) is increasingly recognized as an essential part of patient care outcome. Little is known about the effect of laparoscopic antireflux surgery (LARS) on the HRQoL in the pediatric patients. The aims of this study were to evaluate the effect of LARS on HRQoL in children with gastroesophageal reflux disease (GERD) and to identify predictors that influence HRQoL outcome after LARS.MethodsBetween 2011 and 2013, 25 patients with therapy-resistant GERD [median age 6 (2–18) years] were included prospectively. Caregivers and children with normal neurodevelopment (>4 years) were asked to fill out the validated PedsQL 4.0 Generic Core Scales before and 3–4 months after LARS.ResultsThe PedsQL was completed by all caregivers (n = 25) and 12 children. HRQoL total score improved significantly after LARS, both from a parental (p = 0.009) and child’s perspective (p = 0.018). The psychosocial health summary and physical health summary scores also improved significantly after LARS. HRQoL before and after LARS was significantly lower in children with impaired neurodevelopment (p < 0.001). However, neurodevelopment did not influence the effect of LARS on HRQoL. The only significant predictor for improvement in HRQoL after LARS was age at the time of operation (p = 0.001).ConclusionsHRQoL significantly improves after LARS. Although children with impaired neurodevelopment had lower overall HRQoL, neurodevelopment by itself does not predict inferior improvement in HRQoL after LARS. Older children have a more favorable HRQoL outcome after LARS compared to younger children. This may suggest caution when considering LARS in younger GERD patients.

show abstract

“…Qualitative studies and those focusing on HRQOL generally reflect a positive experience for the child and family after fundoplication. [64][65][66] …”

Section: Fundoplication Surgerymentioning

confidence: 99%

Nonoral Feeding for Children and Youth With Developmental or Acquired Disabilities

Adams¹,

Elias²

2014

Pediatrics

View full text Add to dashboard Cite

The decision to initiate enteral feedings is multifaceted, involving medical, financial, cultural, and emotional considerations. Children who have developmental or acquired disabilities are at risk for having primary and secondary conditions that affect growth and nutritional well-being. This clinical report provides (1) an overview of clinical issues in children who have developmental or acquired disabilities that may prompt a need to consider nonoral feedings, (2) a systematic way to support the child and family in clinical decisions related to initiating nonoral feeding, (3) information on surgical options that the family may need to consider in that decision-making process, and (4) pediatric guidance for ongoing care after initiation of nonoral feeding intervention, including care of the gastrostomy tube and skin site. Ongoing medical and psychosocial support is needed after initiation of nonoral feedings and is best provided through the collaborative efforts of the family and a team of professionals that may include the pediatrician, dietitian, social worker, and/or therapists.

show abstract

Impact of laparoscopic anterior 270° fundoplication on the quality of life and symptoms profile of neurodevelopmentally delayed versus neurologically unimpaired children and their parents

Abstract: Besides the known improvement in symptoms, LAF achieves a significant improvement in QoL for children and their parents. There is no overall difference in the benefit experienced by neurologically impaired and healthy children.

Cited by 27 publications

References 27 publications

Effectiveness of a transluminal endoscopic fundoplication for the treatment of pediatric gastroesophageal reflux disease

Effectiveness of a transluminal endoscopic fundoplication for the treatment of pediatric gastroesophageal reflux disease

Laparoscopic antireflux surgery increases health-related quality of life in children with GERD

Nonoral Feeding for Children and Youth With Developmental or Acquired Disabilities

Contact Info

Product

Resources

About