Nissen fundoplication in children with and without neurological impairment: A prospective cohort study

Journal of Pediatric Surgery
Charlotte K KnattenK Bjørnland

Abstract

It is assumed that children with neurological impairment (NI) have inferior results after fundoplication compared to those without NI (non-NI). The aim of this study was to assess outcome after fundoplication in children with and without NI. 87/105 patients (46 NI, 41 non-NI) undergoing fundoplication between 2003 and 2009 were included in this prospective two-center cohort study. Complications occurring within the first 30days were scored from 0 to 100 by the comprehensive complication index (CCI). Follow-up included clinical examination, upper gastrointestinal contrast study and 24-h pH monitoring 6months postoperatively, then phone-interviews 1, 2 and 4years later. There were no statistical differences in age (NI 3.1 years [0.2-15.2] vs non-NI 5.0 years [0.4-15], p=.14) or in total CCI score (NI 20.9 [0-44.9] vs non-NI 8.7 [0-40.6], p=.57). Hospital stay was longer for NI children (9days [4-57] vs non-NI: 4days [2-16], p<0.001). More than 90% of parents in both groups reported that the fundoplication had improved the child's overall condition. Recurrence of gastroesophageal reflux disease (GERD) was diagnosed in 12 NI and 7 non-NI patients (p=.31). Early complications, GERD recurrence, and long-term parental satisfaction aft...Continue Reading

References

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Citations

Aug 16, 2016·Seminars in Pediatric Surgery·Douglas C Barnhart
Oct 18, 2016·Journal of Pediatric Surgery·Sherif Emil
Apr 16, 2019·Journal of Pediatric Gastroenterology and Nutrition·Morten KvelloKristin Bjørnland
May 20, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Rebecca K StellatoMaud Y A Lindeboom
Aug 15, 2018·Pediatric Surgery International·Giuseppe LauritiAgostino Pierro
Jul 24, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Rebecca K StellatoMaud Y A Lindeboom
May 28, 2019·Journal of Pediatric Gastroenterology and Nutrition·Morten KvelloKristin Bjørnland
Oct 27, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Wendy Jo SvetanoffShawn D St Peter
Jun 28, 2021·Journal of Pediatric Surgery·Morten KvelloKristin Bjørnland
Aug 27, 2021·Frontiers in Pediatrics·John AllenEleanor J Molloy

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