Article
Pediatrics
Elisa Zambaiti, Calogero Virgone, Silvia Bisoffi, Roberta Stefanizzi, Francesco Fascetti Leon, Piergiorgio Gamba
Summary: This study compared the long-term outcomes of gastrostomy only (GO) to gastrostomy with fundoplication (GF) in neurologically impaired children. The findings suggest that gastrostomy placement alone may not be inferior to gastrostomy plus fundoplication in reducing long-term respiratory-related complications for these children.
Article
Surgery
Thomas J. Fyhn, Morten Kvello, Bjorn Edwin, Ole Schistad, Are H. Pripp, Ragnhild Emblem, Charlotte K. Knatten, Kristin Bjornland
Summary: In this study, the long-term outcomes of laparoscopic and open fundoplication in children were compared. The recurrence rate was found to be higher and recurrence occurred earlier in laparoscopic surgery compared to open surgery. However, both surgical approaches resulted in high patient and parental satisfaction.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Pediatrics
Faraz A. Khan, Kelsey Nestor, Asra Hashmi, Saleem Islam
Summary: This report assessed outcomes in infants who underwent GT insertion alone or with concomitant ARP. The study found that preoperative GER was significantly higher in the GT with ARP group, and the postoperative increase in anti-reflux medications was also higher in the GT group. However, there was no significant difference in the need for a secondary procedure between patients who underwent GT alone and those who underwent GT with ARP. Overall, the study suggests that GT insertion can be considered a reasonable approach even in high-risk patients who have already undergone ARP.
FRONTIERS IN PEDIATRICS
(2022)
Review
Pediatrics
Aurore Haffreingue, Claire Dupont-Lucas, Nathan Dolet, Jean-Baptiste Marret, Thierry Petit, Julien Rod
Summary: This study aims to assess the quality of life (QoL) in children with gastroesophageal reflux disease (GERD) after laparoscopic anti-reflux surgery (LARS) and evaluate the impact of GERD symptoms on daily life and school. The study found that LARS significantly improved symptoms and their frequency in the short and medium term, as well as the QoL.
EUROPEAN JOURNAL OF PEDIATRICS
(2023)
Article
Surgery
Carlos Delgado-Miguel, Juan I. Camps
Summary: This study compared the advantages and disadvantages of robotic-assisted redo fundoplication and laparoscopic-assisted surgery in children. The results showed that the robotic-assisted group had shorter surgery time, less intraoperative blood loss, shorter length of hospital stay, and better treatment outcomes, with lower overall economic costs. Therefore, robotic-assisted redo fundoplication may be a better approach.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2023)
Article
Surgery
Francisco Schlottmann, Francisco Laxague, Cristian A. Angeramo, Emmanuel E. Sadava, Fernando A. M. Herbella, Marco G. Patti
Summary: Laparoscopic redo fundoplication (LRF) is a feasible and safe procedure that provides symptom relief and improved quality of life for the majority of patients, with low recurrence rates.
Article
Surgery
Adam S. Weltz, Alex Addo, Andrew Broda, Kevin Connors, H. Reza Zahiri, Adrian Park
Summary: In this study, a retrospective review was conducted on patients with extraesophageal symptoms and pathologic reflux who underwent LARS between February 2012 and July 2019. The study included 420 patients with a mean age of 61.7 years and BMI of 28.6 kg/m². Patients reported significant improvements post LARS at a mean follow-up of 18.9 months, with the majority demonstrating complete resolution of symptoms during follow-up surveys.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Review
Medicine, General & Internal
Jiannan Liu, Changrong Deng, Meiguang Zhang, Yu Zhang, Zhiwei Hu, Minjie Sun, Jimin Wu
Summary: Gastroesophageal reflux-related chronic cough (GERC) is a common type of chronic cough. Drug treatment is effective for some GERC patients, but there is refractory GERC (rGERC). Laparoscopic fundoplication may be the only effective method for rGERC, but the cure rate is unknown. This meta-analysis showed that the cure rate of laparoscopic fundoplication in treating rGERC was 62%, with no deaths in 503 patients.
Article
Pediatrics
Hilmican Ulman, Zafer Dokumcu, Vusale Elekberova, Ulgen Celtik, Emre Divarci, Coskun Ozcan, Ata Erdener
Summary: Routine screening for GER is not necessary prior to gastrostomy in neurologically impaired children. A symptom-selective screening algorithm is safe and efficient in the long term.
PEDIATRIC SURGERY INTERNATIONAL
(2021)
Article
Pediatrics
Marinde van Lennep, Frederique Lansink, Marc A. Benninga, Michiel P. van Wijk
Summary: The study aimed to determine age-specific normal values in healthy infants using the Infant Gastroesophageal Reflux Questionnaire Revised (I-GERQ-R). The results showed that reflux symptoms decrease in the first 24 months of life in healthy infants. Validation as a diagnostic tool for GER-disease using age-appropriate normal values is needed.
EUROPEAN JOURNAL OF PEDIATRICS
(2023)
Article
Surgery
Joseph J. Fantasia, Charles Cock, David I. Watson, Tim Bright, Sarah K. Thompson
Summary: Gastroesophageal reflux disease affects a significant portion of the population worldwide. Minimally invasive laparoscopic fundoplication is an effective treatment for selected patients. However, a small percentage of patients may require revisional surgery. Endoscopy plays an important role in evaluating the outcomes of fundoplication surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Medicine, General & Internal
Natalia Dowgiallo-Gornowicz, Justyna Kacperczyk, Anna Masiewicz, Pawel Lech, Slawomir Saluk, Karolina Osowiecka, Maciej Michalik
Summary: This study reviewed data from patients who underwent GERD LNF surgery in the department from 2014 to 2018, finding a high satisfaction rate postoperatively with a mean follow-up time of approximately 50 months. The proportion of patients recommending the surgery was 78.4%.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Surgery
Vivian L. Wang, Anahita D. Jalilvand, Anand Gupta, Jennwood Chen, Chaitanya Vadlamudi, Kyle A. Perry
Summary: In this retrospective study, it was found that smokers and non-smokers who underwent LARS surgery had similar outcomes in terms of symptom resolution, PPI cessation rates, and satisfaction with the surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Min Seo Kim, Youjin Oh, Jun-Hyun Lee, Joong-Min Park, Jin-Jo Kim, Kyo Young Song, Seung Wan Ryu, Kyung Won Seo, Hyoung-Il Kim, Dong Jin Kim, Sungsoo Park, Sang-Uk Han
Summary: The study followed up on Korean patients with GERD who underwent anti-reflux surgery for up to 1 year, finding that over 90% of patients had good symptom resolution at one year post-operation. The proportion of patients with hiatal hernia and comorbidities increased in the later period (2015-2018), with a significant decrease in operation time. Symptom control and complication rate remained comparable between the early and late periods.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Gastroenterology & Hepatology
Annelies Geeraerts, Livia Guadagnoli, Ans Pauwels, Hannelore Geysen, Thomas Neyens, Lukas Van Oudenhove, Tim Vanuytsel, Jan Tack
Summary: This study aimed to investigate the association between psychological symptoms and reflux phenotype along the GERD spectrum in refractory reflux patients. The findings suggest that psychological symptoms do not differ across reflux phenotypes and do not predict reflux phenotype membership in refractory reflux patients.