Abstract
Fundoplication is often performed in conjunction with gastrostomy tube (GT) placement in children, but there is a great deal of variation in rates of and indications for this procedure. Little is known about the impact of fundoplication on peri-operative outcomes. This study examines a national cohort of pediatric patients to compare risk-adjusted surgical outcomes in patients undergoing GT placement with or without concomitant fundoplication. We identified all patients undergoing GT placement in the 2012 National Surgical Quality Improvement Program - Pediatric. We evaluated demographics, comorbidities, complications, and length of stay for GT with fundoplication versus GT alone. We defined composite morbidity as a dichotomous variable for the presence of any complication. Logistic regression was performed to identify predictors of morbidity after adjusting for covariates. 1289 GT patients were identified, and 148 (11.5%) underwent concurrent fundoplication. The fundoplication patients were more likely to be younger, have cardiac risk factors, and be on respiratory support. They also had higher rates of surgical site infection (7.4% vs 3.7%, p=0.03) and composite morbidity (16.9% vs 8.7%, p=0.001), and longer LOS (median 5 vs ...Continue Reading
References
Jun 11, 1992·Annals of Surgery·C D SmithJ D Walker
Jul 1, 1995·Gastrointestinal Endoscopy·B H CameronG C Fraser
Sep 1, 1993·The Journal of Pediatrics·C T AlbaneseS D Smith
Mar 14, 1998·Pediatrics·E W FonkalsrudT R Weber
Mar 14, 1998·Journal of Pediatric Surgery·S S Rothenberg
Feb 28, 2003·Surgery·Samuel R G FinlaysonWilliam S Laycock
Nov 3, 2006·Pediatrics·Michael S LasserRandall S Burd
Jan 25, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Charles J AprahamianDouglas C Barnhart
Feb 19, 2008·Journal of Pediatric Surgery·Randolph K CribbsMark L Wulkan
Mar 3, 2009·Pediatric Surgery International·Mara B AntonoffRobert D Acton
Apr 29, 2009·Acta Paediatrica·Badriul HegarYvan Vandenplas
Jul 8, 2009·Archives of Pediatrics & Adolescent Medicine·Adam B GoldinDimitri Christakis
Feb 16, 2010·Journal of Pediatric Surgery·Keith A ThatchMarshall Z Schwartz
May 25, 2010·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·N ViswanathU Samarakkody
Aug 14, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jessica A NaiditchKatherine A Barsness
Jun 21, 2011·Journal of Pediatric Surgery·Cabrini A LaRiviereAdam B Goldin
Jul 30, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Femke A MauritzDavid C van der Zee
Jan 22, 2013·Journal of Pediatric Surgery·Jennifer L BrunyMoritz M Ziegler
Jul 13, 2013·The Journal of Surgical Research·Laura BakerRobert Baird
Aug 7, 2013·Pediatrics·Jacqueline M SaitoR Lawrence Moss
Aug 8, 2013·JAMA Pediatrics·Douglas C BarnhartRajendu Srivastava
Nov 20, 2013·Journal of Epidemiology and Community Health·Natalie Gavrielov-Yusim, Michael Friger
Citations
Feb 7, 2018·Surgical Endoscopy·Anne M SteyLoren Berman
May 4, 2016·Current Opinion in Pediatrics·Derek S WakemanBrad W Warner
Aug 25, 2020·Surgical Endoscopy·Louise MontalvaArnaud Bonnard
Dec 19, 2018·Pediatric Surgery International·Karen MilfordSharon Cox
Jan 1, 2017·Pediatric Surgery International·Heather L ShortMehul V Raval
May 15, 2018·Congenital Heart Disease·Parthak ProdhanNahed O ElHassan
Apr 1, 2018·Surgical Endoscopy·Jean-Baptiste MarretJulien Rod
Nov 28, 2016·Pediatric Surgery International·Brendan K Y YapYee Low
Oct 17, 2021·Esophagus : Official Journal of the Japan Esophageal Society·Daisuke MasuiYoshiaki Tanaka