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Outcome after Computer-Assisted (Robotic) Nissen Fundoplication in Children Measured as Pre- and Postoperative Acid Reducing and Asthma Medications Use.

Granéli, Christina LU ; Clementson Kockum, Christina LU ; Arnbjörnsson, Einar LU and Anderberg, Magnus LU (2015) In European Journal of Pediatric Surgery 25(6). p.532-536
Abstract
Purpose This study aims to report the clinical outcome of computer-assisted fundoplication (CAF) in children. Methods As our center changed policy to using computer-assisted surgery only, a prospectively studied cohort of 40 children underwent CAF, during the period from January 2006 through May 2013. The collected data include patient demographics and postoperative complications as well as medication, 24-hour pH measurements and DeMeester scores before and after surgery. Results In the studied group, the median percentage of the duration of the 24-hour pH < 4 decreased postoperatively from 11 (range, 5-39) to 1% (range, 0-12) (p < 0.001); the DeMeester score decreased from 40 (range, 17-137) to 5 (range, 1-42) (p < 0.001). All 40... (More)
Purpose This study aims to report the clinical outcome of computer-assisted fundoplication (CAF) in children. Methods As our center changed policy to using computer-assisted surgery only, a prospectively studied cohort of 40 children underwent CAF, during the period from January 2006 through May 2013. The collected data include patient demographics and postoperative complications as well as medication, 24-hour pH measurements and DeMeester scores before and after surgery. Results In the studied group, the median percentage of the duration of the 24-hour pH < 4 decreased postoperatively from 11 (range, 5-39) to 1% (range, 0-12) (p < 0.001); the DeMeester score decreased from 40 (range, 17-137) to 5 (range, 1-42) (p < 0.001). All 40 patients required antireflux medication before the fundoplication. This number decreased significantly to 8 (20%) after the fundoplication (p < 0.001). Before the fundoplication, 22 children (55%) were using asthma medication and 12 (30%) after the fundoplication (p = 0.04). Conclusions The CAF significantly reduced the acid reflux from the stomach to the esophagus and the use of antireflux as well as asthma medication during the median observation period of 5 years. The evidence of advantages compared with conventional laparoscopic fundoplication remain to be confirmed. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Pediatric Surgery
volume
25
issue
6
pages
532 - 536
publisher
Georg Thieme Verlag
external identifiers
  • pmid:25344939
  • wos:000367455600013
  • scopus:84941705638
ISSN
1439-359X
DOI
10.1055/s-0034-1387950
language
English
LU publication?
yes
id
4c878ade-a8c7-4fee-99fd-2ea407707863 (old id 4733235)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25344939?dopt=Abstract
date added to LUP
2014-11-10 19:01:57
date last changed
2017-01-01 03:21:38
@article{4c878ade-a8c7-4fee-99fd-2ea407707863,
  abstract     = {Purpose This study aims to report the clinical outcome of computer-assisted fundoplication (CAF) in children. Methods As our center changed policy to using computer-assisted surgery only, a prospectively studied cohort of 40 children underwent CAF, during the period from January 2006 through May 2013. The collected data include patient demographics and postoperative complications as well as medication, 24-hour pH measurements and DeMeester scores before and after surgery. Results In the studied group, the median percentage of the duration of the 24-hour pH &lt; 4 decreased postoperatively from 11 (range, 5-39) to 1% (range, 0-12) (p &lt; 0.001); the DeMeester score decreased from 40 (range, 17-137) to 5 (range, 1-42) (p &lt; 0.001). All 40 patients required antireflux medication before the fundoplication. This number decreased significantly to 8 (20%) after the fundoplication (p &lt; 0.001). Before the fundoplication, 22 children (55%) were using asthma medication and 12 (30%) after the fundoplication (p = 0.04). Conclusions The CAF significantly reduced the acid reflux from the stomach to the esophagus and the use of antireflux as well as asthma medication during the median observation period of 5 years. The evidence of advantages compared with conventional laparoscopic fundoplication remain to be confirmed.},
  author       = {Granéli, Christina and Clementson Kockum, Christina and Arnbjörnsson, Einar and Anderberg, Magnus},
  issn         = {1439-359X},
  language     = {eng},
  number       = {6},
  pages        = {532--536},
  publisher    = {Georg Thieme Verlag},
  series       = {European Journal of Pediatric Surgery},
  title        = {Outcome after Computer-Assisted (Robotic) Nissen Fundoplication in Children Measured as Pre- and Postoperative Acid Reducing and Asthma Medications Use.},
  url          = {http://dx.doi.org/10.1055/s-0034-1387950},
  volume       = {25},
  year         = {2015},
}