Need for subsequent fundoplication after gastrostomy based on patient characteristics

Ponsky, Todd A.; Gasior, Alessandra C.; Parry, Jennifer; Sharp, Susan W.; Boulanger, Scott C.; Parry, Robert L.; Ostlie, Daniel J.; Peter, Shawn D. St.

doi:10.1016/j.jss.2012.03.064

Cited by 34 publications

(17 citation statements)

References 20 publications

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“…3,11,16 Fourteen percent of our patients later underwent Nissen fundoplication because of gastroesophageal reflux disease, which is a higher number than in a recent study that reported 9%. 17 It has been reported that PEG can worsen gastroesophageal reflux disease, 18 but most infants outgrow their gastroesophageal reflux, 19 making it difficult to decide on fundoplication at the time of a PEG placement. In our cohort the risk of aspiration was the major factor deciding on choice of operation.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Endoscopic Gastrostomy in Children: A Population-Based Study from Iceland, 1999–2010

Viktorsdóttir

Óskarsson²,

Gunnarsdottir³

et al. 2015

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Section: Discussionmentioning

confidence: 99%

Percutaneous Endoscopic Gastrostomy in Children: A Population-Based Study from Iceland, 1999–2010

Viktorsdóttir

Óskarsson²,

Gunnarsdottir³

et al. 2015

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…12 Conversely, additional studies have shown that once placed, g-tubes are often fraught with complications, ranging from the minor (tube leakage, skin irritation, or formation of granulation tissue formation) to the more severe (worsening gastroesophageal reflux disease, g-tube cellulitis, or g-tube dislodgement). 10, 13-15 To date, there have been no studies comparing clinical outcomes in aspirating children treated with oral thickened liquids to those treated with g-tube placement. 12 …”

mentioning

confidence: 99%

Oral Feeding Reduces Hospitalizations Compared with Gastrostomy Feeding in Infants and Children Who Aspirate

McSweeney

Kerr

Amirault

et al. 2016

The Journal of Pediatrics

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Objective To compare the frequency of hospitalization rates between aspirating patients treated with gastrostomy versus those fed oral thickened liquids. Study design A retrospective review was performed of patients with an abnormal videofluoroscopic swallow study between February 2006 and August 2013. 114 patients at Boston Children's Hospital were included. Frequency, length, and type of hospitalizations within one year of abnormal swallow study or gastrostomy tube placement were analyzed using a negative binomial regression model. Results Gastrostomy tube fed patients had a median of 2 (IQR: 1, 3) admissions per year as compared with orally fed patients who had a 1 (IQR: 0, 1) admissions per year, p<0.0001. Patients fed by gastrostomy were hospitalized for more days (median 24 (IQR: 6, 53) days) versus orally fed patients (median: 2 (IQR: 1, 4) days, (P<0.001)). Despite the potential risk of feeding patients orally, no differences in total pulmonary admissions (IRR: 1.65 (95%CI [0.70, 3.84])) between the two groups were found, except gastrostomy tube patients had 2.58 times (95%CI [1.02, 6.49]) more urgent pulmonary admissions. Conclusion Patients who underwent gastrostomy tube placement for the treatment of aspiration had two times as many admissions as compared with aspirating patients fed orally. We recommend a trial of oral feeding in all children cleared to take nectar or honey thickened liquids prior to gastrostomy tube placement.

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“…Interestingly, gastrostomy performed laparoscopically had a negative correlation with the subsequent need for fundoplication. 27 In a smaller study, 17% of NI patients who underwent gastrostomy alone needed a subsequent fundoplication. 28 In another study, the authors looked at the need for fundoplication in patients undergoing open gastrostomy (OG) compared with PEG.…”

Section: Discussionmentioning

confidence: 95%

“…5, [22][23][24][25][26] Some authors have also reported a higher rate of recurrence of GERD in the laparoscopic approach compared with the open approach. 5, 23,27 In the past 5 years, there has been one prospective randomized trial comparing recurrence of GERD in children for the two approaches. 23 Eighty-seven children were randomized, and at a median follow-up of 4 years, more patients in the laparoscopic fundoplication (LF) group (37%) experienced recurrence of GERD compared with the open fundoplication (OF) group (7%).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Fundoplication for the Surgical Management of Gastroesophageal Reflux Disease in Children

Dekonenko

Holcomb

2020

Eur J Pediatr Surg

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Gastroesophageal reflux (GER) is common in infants generally resolving in early childhood. However, gastroesophageal reflux disease (GERD) is diagnosed when persistent troublesome symptoms and/or complications of GER develop. These symptoms and complications can significantly affect the quality of life, thus requiring medical or surgical treatment. Medical management is typically trialed, but operative treatment is indicated with severe symptoms such as aspiration pneumonia, apneic episodes, bradycardia, apparent life-threatening events, severe vomiting, failure to thrive, esophagitis, stricture, and failed medical therapy. We review the recent literature on the indications and outcomes for laparoscopic fundoplication in the management of pediatric GERD.

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Need for subsequent fundoplication after gastrostomy based on patient characteristics

Cited by 34 publications

References 20 publications

Percutaneous Endoscopic Gastrostomy in Children: A Population-Based Study from Iceland, 1999–2010

Percutaneous Endoscopic Gastrostomy in Children: A Population-Based Study from Iceland, 1999–2010

Oral Feeding Reduces Hospitalizations Compared with Gastrostomy Feeding in Infants and Children Who Aspirate

Laparoscopic Fundoplication for the Surgical Management of Gastroesophageal Reflux Disease in Children

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