Morbidity and mortality in total esophagogastric dissociation: A systematic review

Peters, Robert Thomas; Goh, Yan Li; Veitch, Jessica; Khalil, Basem A.; Morabito, Antonino

doi:10.1016/j.jpedsurg.2012.11.049

Cited by 29 publications

(18 citation statements)

References 27 publications

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“…Despite these perioperative differences, the rate of significant postoperative complications was similar. Interestingly, outcomes of TOGD in this study were similar to that of a large review (n = 181) [25]. Reviewing other, long-term outcomes of the surgery, there was no significant difference in survival between groups; when children did die later, this was at a similar time period postsurgery (3-4 years).…”

Section: Discussionsupporting

confidence: 79%

Long-term and ‘patient-reported’ outcomes of total esophagogastric dissociation versus laparoscopic fundoplication for gastroesophageal reflux disease in the severely neurodisabled child

Lansdale

McNiff

Morecroft

et al. 2015

Journal of Pediatric Surgery

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Section: Discussionsupporting

confidence: 79%

Long-term and ‘patient-reported’ outcomes of total esophagogastric dissociation versus laparoscopic fundoplication for gastroesophageal reflux disease in the severely neurodisabled child

Lansdale

McNiff

Morecroft

et al. 2015

Journal of Pediatric Surgery

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“…5 In neurologically impaired children, especially in ones affected by seizures, the risk of recurrence of GOR and mortality after a fundoplication is higher compared with patients with a normal neurological level. 1,2,[6][7][8][9][10][11] For this reason, in recent years, TOGD has obtained an higher consensus in the surgical treatment of GOR in this kind of patients. In fact, it is now considered as a valid option not only as a 'rescue' intervention in patients with recurrence of GOR after fundoplication, but also as primary procedure with good results.…”

Section: Discussionmentioning

confidence: 99%

“…The X-ray contrast study on postoperative day (7 POD) did not show the presence of complications in all the children of the laparoscopic group and in four children of the robotic one. In the boy with oesophageal atresia history and oesophageal perforation in presence of an on-lay mesh, the X-ray contrast study detected a dehiscence of the oesophago-jejunal anastomosis.In the laparoscopic group, the feeding restarted on POD 7 (range 5-11), while in the robotic group, on POD 8 (range[6][7][8][9][10][11][12][13]. Feeding of the patients usually began with clear liquid feedings through the gastrostomy.…”

mentioning

confidence: 99%

Total oesophago‐gastric dissociation in neurologically impaired children: Laparoscopic vs robotic approach

Mattioli

Wong

Angotti

et al. 2019

Robotics Computer Surgery

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Purpose:To evaluate and compare the feasibility and short-term results of laparoscopic and robotic total oesophago-gastric dissociation (TOGD) with a Roux-en-Y oesophago-jejunostomy. Minimal invasive surgery has multiple advantages in neurologically impaired patients. Robotic approach has overcome disadvantages linked to laparoscopy, in particular, referring to the surgeon fatigue. Methods: A retrospective study comparing five laparoscopic and five robotic TOGD was conducted between February and October 2016 in Giannina Gaslini Children's Hospital and Section of Pediatric Surgery of Siena. Neurologically impaired children scheduled for TOGD were included. Age, sex, weight, symptomatology, presence of epilepsy, and preoperative X-ray contrast were considered. Operative time, hospital stay, postoperative complications, redo surgery, nutrition rehabilitation, and X-ray contrast study after 5 days and after 1 month from the intervention were recorded.Results: In our series, there were no intraoperative complications, no conversions to open surgery, and no vagal lesions. In two of five robotic cases, a pyloroplasty was necessary. The median operative time was statistically longer in the robotic group.One dehiscence in the robotic group was recorded, and no dumping episodes occurred. No statistical differences in terms of complications were detected.Conclusion: TOGD is feasible both with laparoscopic and robotic-assisted surgery with similar results. Robotic approach is considered feasible. At the same time, high laparoscopic skills allow to reach the same results as robotic approach with shorter operative time. K E Y W O R D Sgastro-oesophageal reflux, laparoscopic surgery, mininvasive surgery, neurological impairment, paediatric surgery, robotic surgery

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“…In addition, the inconveniences of continuous and nighttime feedings are similar to those associated with GJ tubes. Esophagogastric dissociation requires a much more invasive operation than Roux-Y jejunostomy, but allows for long-term, bolused gastric feedings with minimal long-term complications [17].…”

Section: Discussionmentioning

confidence: 99%

Complications of gastrojejunal feeding tubes in children

Campwala

Perrone

Yanni

et al. 2015

Journal of Surgical Research

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Morbidity and mortality in total esophagogastric dissociation: A systematic review

Cited by 29 publications

References 27 publications

Long-term and ‘patient-reported’ outcomes of total esophagogastric dissociation versus laparoscopic fundoplication for gastroesophageal reflux disease in the severely neurodisabled child

Long-term and ‘patient-reported’ outcomes of total esophagogastric dissociation versus laparoscopic fundoplication for gastroesophageal reflux disease in the severely neurodisabled child

Total oesophago‐gastric dissociation in neurologically impaired children: Laparoscopic vs robotic approach

Complications of gastrojejunal feeding tubes in children

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