Long-term outcome and efficiency of symptom-selective approach to assess gastroesophageal reflux prior to gastrostomy in neurologically impaired children

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dc.contributor.authorUlman, Hilmican
dc.contributor.authorDokumcu, Zafer
dc.contributor.authorElekberova, Vusale
dc.contributor.authorCeltik, Ulgen
dc.contributor.authorDivarci, Emre
dc.contributor.authorOzcan, Coskun
dc.contributor.authorErdener, Ata
dc.date.accessioned2021-05-03T20:21:31Z
dc.date.available2021-05-03T20:21:31Z
dc.date.issued2021
dc.departmentEge Üniversitesien_US
dc.description.abstractPurpose To evaluate the necessity of preoperative screening for gastroesophageal reflux (GER) prior to gastrostomy in neurologically impaired children. Methods Medical records of neurologically impaired children, who have undergone laparoscopic gastrostomy between January, 2004 and June, 2018, were retrospectively reviewed. Before the year of 2014, all patients who required gastrostomy had been routinely screened for GER pre-operatively, but after the year of 2014, only the ones with GER-related symptoms were tested. The characteristics and outcomes of Routine Screening (RS) and Selective Screening (SS) periods were compared. Results There were 55 and 54 patients in the RS and SS periods, respectively. Demographics, primary pathologies, and mean follow-up durations (> 2 years) were similar. The rate of GER screening was significantly lower in the SS period (29.6% vs. 63.6%). The rate of Laparoscopic Nissen Fundoplication (LNF) combined with gastrostomy was significantly lower in the SS period (14.8% vs. 38.2%). During follow-up, the rates of new-onset GER symptoms (13% vs. 11.7%) and LNF requirement later on (6.5% vs. 8.8%) were statistically similar between the two periods. Conclusion Routine screening for GER is not necessary prior to gastrostomy in neurologically impaired children. Symptom-selective screening algorithm is safe and efficient in the long term.en_US
dc.identifier.doi10.1007/s00383-021-04891-5en_US
dc.identifier.issn0179-0358
dc.identifier.issn1437-9813
dc.identifier.pmid33783634en_US
dc.identifier.scopus2-s2.0-85103938042en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1007/s00383-021-04891-5
dc.identifier.urihttps://hdl.handle.net/11454/69360
dc.identifier.wosWOS:000635037300001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofPediatric Surgery Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGastrostomyen_US
dc.subjectNeurologically impaireden_US
dc.subjectGastroesophageal refluxen_US
dc.subjectChilden_US
dc.titleLong-term outcome and efficiency of symptom-selective approach to assess gastroesophageal reflux prior to gastrostomy in neurologically impaired childrenen_US
dc.typeArticleen_US

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