| A comparison of laparoscopic and open Nissen fundoplication and gastrostomy placement in the neonatal intensive care unit population. | |
| | |
MedLine Citation:
|
PMID: 20152349 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: The aim of this study was to compare outcomes after laparoscopic and open techniques for Nissen fundoplication and gastrostomy placement in the neonatal intensive care unit (NICU) population. METHODS: The medical records for NICU inpatients who underwent laparoscopic and open Nissen fundoplication and gastrostomy placement from August 2002 to August 2008 were reviewed after Institutional Review Board approval. Each technique was compared with regard to operative time, estimated blood loss, postoperative 24-hour narcotic requirements, time to goal feeds, and complication rates. Analysis of variance was used to determine statistical significance. Data are quoted as mean +/- SEM. RESULTS: Fifty-seven NICU patients underwent fundoplication and gastrostomy placement (25 laparoscopic and 32 open). The time to goal feeds was significantly shorter for the laparoscopic group (4.3 +/- 0.4 vs 6.1 +/- 0.6 days, P = .04). The 24-hour postoperative narcotic requirement was significantly lower in the laparoscopic group (0.24 +/- 0.05 vs 0.55 +/- 0.08 mg/kg, P = .007). Operation times (111 +/- 5 [open] vs 113 +/- 5 minutes, P = .76) and estimated blood loss (13 +/- 2 [open] vs 11 +/- 1 mL, P = .33) were comparable for both groups. CONCLUSION: Laparoscopic and open techniques for Nissen fundoplication with gastrostomy placement are safe and appropriate treatment methods with equivalent operating times for the treatment of gastroesophageal reflux in the NICU population. |
| | |
Authors:
|
Keith A Thatch; Edward Y Yoo; L Grier Arthur; Christine Finck; Douglas Katz; Matthew Moront; Rajeev Prasad; Charles Vinocur; Marshall Z Schwartz |
Related Documents
:
|
12400739 - Excellent quality of life after nissen fundoplication depends on successful elimination... 9719269 - Incidence and natural history of contralateral vesicoureteral reflux in patients presen... 19188719 - Laparoscopic fundoplication for gerd: are we there yet? 8651389 - Laparoscopic collis gastroplasty is the treatment of choice for the shortened esophagus. 16335859 - Maintenance therapy in gastro-oesophageal reflux disease. 15927649 - Functional problems following esophageal surgery. 6107689 - Laparoscopic and minilaparotomy female sterilisation compared in 15 167 cases. 17626909 - Catamenial and noncatamenial, endometriosis-related or nonendometriosis-related pneumot... 20582709 - Anterior shear strength of the porcine lumbar spine after laminectomy and partial facet... |
Publication Detail:
|
Type: Comparative Study; Journal Article; Review |
Journal Detail:
|
Title: Journal of pediatric surgery Volume: 45 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2010 Feb |
Date Detail:
|
Created Date: 2010-02-15 Completed Date: 2010-04-22 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 346-9 Citation Subset: IM |
Copyright Information:
|
Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
|
St Christopher's Hospital for Children/Drexel University College of Medicine, Philadelphia, PA 19134, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Age Distribution Blood Loss, Surgical / statistics & numerical data Child Child, Preschool Enteral Nutrition / statistics & numerical data Female Fundoplication / methods*, statistics & numerical data Gastroesophageal Reflux / surgery* Gastrostomy / methods* Humans Infant Infant, Newborn Intensive Care Units, Neonatal / statistics & numerical data Intraoperative Period Laparoscopy / methods*, statistics & numerical data Length of Stay Male Narcotics / administration & dosage, therapeutic use Pain, Postoperative / drug therapy, epidemiology Postoperative Complications / epidemiology Time Factors Treatment Outcome |
| Chemical | |
Reg. No./Substance:
|
0/Narcotics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Colonic interposition for esophageal replacement in children remains a good choice: 33-year median f...
Next Document: Gastric emptying scans: unnecessary preoperative testing for fundoplications?