Long-Term Analysis of Respiratory-Related Complications Following Gastrostomy Placement with or without Fundoplication in Neurologically Impaired Children
A Retrospective Cohort Study
Bibliographic Data
| ID | 15715739 |
|---|---|
| Authors | Elisa Zambaiti (0000-0002-9610-1708, University of Padua), Calogero Virgone (0000-0002-3651-9416, University of Padua, corresponding author), Silvia Bisoffi (0000-0002-7921-8429, University of Padua), Roberta Stefanizzi (University of Padua), Francesco Fascetti Leon (0000-0002-7175-3013, University of Padua), Piergiorgio Gamba (0000-0003-2068-342X, University of Padua) |
| Year | 2021 |
| Volume | 8 |
| Issue | 1 |
| Pages | 22-22 |
| Publication date | 2021-01-04 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children8010022 |
| PMID | 33406700 |
| OpenAlex | W1486671033 |
| Language | EN |
| Citations received | 4 |
| References cited | 25 |
Gastrostomy placement is crucial in neurologically impaired (NI) children to ensure an adequate food intake and a safe route for drugs administration and to reduce the risk of primary aspiration. NI patents are more prone to gastroesophageal reflux. The association with fundoplication is deemed to reduce reflux-related respiratory complications. However, long-term benefits of this approach are not clear. We therefore aimed to compare long-term reflux-related respiratory complications of gastrostomy only (GO) to gastrostomy with fundoplication (GF). We retrospectively reviewed 145 consecutive NI children managed from 2008 to 2018. As long-term outcomes, we analyzed number and length of hospital admissions (Reflux-Related-Hospitalization, RRH) and emergency department accesses (Reflux-Related-Accesses, RRA) due to respiratory problems. Results were analyzed with appropriate statistical method. Median age at referral and at gastrostomy placement were 2.2 and 3.4 years (SD 5.6), respectively. Median follow-up was four years (range 1-12). Anti-reflux procedures were performed in 26/145 patients (18%); tracheotomy in 23/145 (16%). RRH following surgery showed lower number of admissions/year (0.32 vs. 1 for GO vs. GF, p p = 0.08) in GO compared to GF; RRA was similar (0.60 vs. 0.65, p = 0.43). Gastrostomy placement alone appeared not to be inferior to gastrostomy plus fundoplication with respect to long-term respiratory-related outcomes for NI children in our center
Cohort · Disease · Gastrostomy · Reflux · Retrospective cohort study · Tracheotomy · Child Nutrition and Feeding Issues · Clinical Nutrition and Gastroenterology · Gastroesophageal reflux and treatments · Medicine · Internal Medicine · Pediatrics · Surgery
| Citations per year | 0.09 |
|---|---|
| Citation span | 1983 - 2021 (39) |
| Highly cited | No |