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Perioperative outcomes of laparoscopic fundoplication for gastroesophageal reflux disease in children with or without scoliosis

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Abstract

Purpose

This study aimed to evaluate the perioperative outcomes of laparoscopic fundoplication (LF) for gastroesophageal reflux disease (GERD) in children with scoliosis.

Methods

Data of consecutive patients with GERD who underwent LF from January 2015 to December 2020 at a single pediatric institution were retrospectively analyzed.

Results

Eighty-two patients underwent laparoscopic Nissen fundoplication. The median [interquartile range (IQR)] body weight was 9.3 [7; 14] kg. Seventy-five patients were neurologically impaired (91%), and other comorbidities included scoliosis (n = 33), lung disease (n = 39), and cardiac disease (n = 14). The median (IQR) operative time including the creation of the gastrostomy and volume of bleeding were 160 [143; 190] min and 2 [1; 5] mL, respectively. There were no significant differences between patients with and those without scoliosis (p = 0.17 and p = 0.90, respectively). Patients with cardiac disease had a longer operative time (167 [161; 193] vs. 157 [141; 190] min, p = 0.01). There were three post-operative complications in children with neurological impairment; however, there was no clear relationship between the severity of scoliosis and complications.

Conclusion

Severity of scoliosis did not correlate with perioperative results and post-operative complications. This suggests that the same LF technique can be used regardless of the presence or absence of scoliosis in children.

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Acknowledgements

We gratefully acknowledge the work of the past and present members of our institution. We could not have completed the study without their support. This research received no specific grant from any funding agency in the public and commercial sectors.

Funding

This study was not funded by any grant.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Hokkaido Medical Center for Child Health and Rehabilitation, 1-1-240-6, Kanayama, Teine-ku, Sapporo, Hokkaido, 006-0041, Japan

    Shinichiro Yokoyama, Akihiro Nui, Kako Ono, Satsuki Hashimoto, Shigeki Nishibori & Hiromi Hamada

  2. Department of Surgery, Surgical Oncology and Science, Sapporo Medical University Hospital, Sapporo, Japan

    Ichiro Takemasa

Authors
  1. Shinichiro Yokoyama
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  2. Akihiro Nui
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  3. Kako Ono
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  4. Satsuki Hashimoto
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  5. Shigeki Nishibori
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  6. Hiromi Hamada
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  7. Ichiro Takemasa
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Correspondence to Shinichiro Yokoyama.

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The authors declare that they have no conflict of interest for this study.

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Not applicable due to the retrospective nature of the study.

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All study participants provided informed consent.

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Yokoyama, S., Nui, A., Ono, K. et al. Perioperative outcomes of laparoscopic fundoplication for gastroesophageal reflux disease in children with or without scoliosis. Pediatr Surg Int 37, 1725–1730 (2021). https://doi.org/10.1007/s00383-021-04988-x

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