Journal article
A comparison of laparoscopic and open Nissen fundoplication and gastrostomy placement in the neonatal intensive care unit population
Journal of pediatric surgery, v 45(2), pp 346-349
01 Feb 2010
PMID: 20152349
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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. (C) 2010 Elsevier Inc. All rights reserved.
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Details
- Title
- A comparison of laparoscopic and open Nissen fundoplication and gastrostomy placement in the neonatal intensive care unit population
- Creators
- Keith A. Thatch - St. Christopher's Hospital for ChildrenEdward Y. Yoo - St. Christopher's Hospital for ChildrenL. Grier Arthur - St. Christopher's Hospital for ChildrenChristine Finck - St. Christopher's Hospital for ChildrenDouglas Katz - St. Christopher's Hospital for ChildrenMatthew Moront - St. Christopher's Hospital for ChildrenRajeev Prasad - St. Christopher's Hospital for ChildrenCharles Vinocur - St. Christopher's Hospital for ChildrenMarshall Z. Schwartz - St. Christopher's Hospital for Children
- Publication Details
- Journal of pediatric surgery, v 45(2), pp 346-349
- Publisher
- Elsevier
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000274393900012
- Scopus ID
- 2-s2.0-75749138142
- Other Identifier
- 991019167804704721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Pediatrics
- Surgery