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Risk factors of dumping syndrome after fundoplication for gastroesophageal reflux in children.
Pediatr Surg Int. 2021 Feb; 37(2):183-189.PS

Abstract

PURPOSE

In postoperative cases of fundoplication, the gastric emptying ability is promoted and sometimes exhibits dumping syndrome. Dumping syndrome often goes unrecognized in children. Furthermore, the risk factors for postoperative dumping syndrome are unknown. This study aimed to investigate the risk factors of developing dumping syndrome after fundoplication.

METHODS

A retrospective chart review of all consecutive patients between January 2003 and March 2018 (190 patients) who had fundoplication at our clinic was conducted. Regarding the risk factors of dumping syndrome, gender, age and body weight at the time of surgery, neurological impairment, severe scoliosis, microgastria, chromosomal abnormalities, complex cardiac anomalies, gastrostomy, and laparoscopic surgery were retrospectively studied.

RESULTS

17 patients (9%) developed dumping syndrome post-operatively. Multivariate analysis showed that significant risk factors for dumping syndrome included: undergoing surgery within 12 months of age (adjusted OR 10.3, 95% CI 2.6-45.2), severe scoliosis (adjusted OR 19.3, 95% CI 4.4-91.1), and microgastria (adjusted OR 26.5, 95% CI 1.4-896.4).

CONCLUSIONS

We identified that: age at fundoplication being within 12 months of age, severe scoliosis, and microgastria were risk factors for dumping syndrome after fundoplication, and that this information should be explaining to the family before conducting the fundoplication.

Authors+Show Affiliations

Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, 420-8660, Japan. masaya-yamoto@i.shizuoka-pho.jp.Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, 420-8660, Japan.Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, 420-8660, Japan.Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, 420-8660, Japan.Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, 420-8660, Japan.Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, 420-8660, Japan.Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, 420-8660, Japan.Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, 420-8660, Japan.Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, 420-8660, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33388966

Citation

Yamoto, Masaya, et al. "Risk Factors of Dumping Syndrome After Fundoplication for Gastroesophageal Reflux in Children." Pediatric Surgery International, vol. 37, no. 2, 2021, pp. 183-189.
Yamoto M, Fukumoto K, Takahashi T, et al. Risk factors of dumping syndrome after fundoplication for gastroesophageal reflux in children. Pediatr Surg Int. 2021;37(2):183-189.
Yamoto, M., Fukumoto, K., Takahashi, T., Miyake, H., Nakaya, K., Nomura, A., Sekioka, A., Yamada, Y., & Urushihara, N. (2021). Risk factors of dumping syndrome after fundoplication for gastroesophageal reflux in children. Pediatric Surgery International, 37(2), 183-189. https://doi.org/10.1007/s00383-020-04783-0
Yamoto M, et al. Risk Factors of Dumping Syndrome After Fundoplication for Gastroesophageal Reflux in Children. Pediatr Surg Int. 2021;37(2):183-189. PubMed PMID: 33388966.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk factors of dumping syndrome after fundoplication for gastroesophageal reflux in children. AU - Yamoto,Masaya, AU - Fukumoto,Koji, AU - Takahashi,Toshiaki, AU - Miyake,Hiromu, AU - Nakaya,Kengo, AU - Nomura,Akiyoshi, AU - Sekioka,Akinori, AU - Yamada,Yutaka, AU - Urushihara,Naoto, Y1 - 2021/01/03/ PY - 2020/11/06/accepted PY - 2021/1/4/pubmed PY - 2021/6/16/medline PY - 2021/1/3/entrez KW - Dumping syndrome KW - Fundoplication KW - Microgastria KW - Scoliosis SP - 183 EP - 189 JF - Pediatric surgery international JO - Pediatr Surg Int VL - 37 IS - 2 N2 - PURPOSE: In postoperative cases of fundoplication, the gastric emptying ability is promoted and sometimes exhibits dumping syndrome. Dumping syndrome often goes unrecognized in children. Furthermore, the risk factors for postoperative dumping syndrome are unknown. This study aimed to investigate the risk factors of developing dumping syndrome after fundoplication. METHODS: A retrospective chart review of all consecutive patients between January 2003 and March 2018 (190 patients) who had fundoplication at our clinic was conducted. Regarding the risk factors of dumping syndrome, gender, age and body weight at the time of surgery, neurological impairment, severe scoliosis, microgastria, chromosomal abnormalities, complex cardiac anomalies, gastrostomy, and laparoscopic surgery were retrospectively studied. RESULTS: 17 patients (9%) developed dumping syndrome post-operatively. Multivariate analysis showed that significant risk factors for dumping syndrome included: undergoing surgery within 12 months of age (adjusted OR 10.3, 95% CI 2.6-45.2), severe scoliosis (adjusted OR 19.3, 95% CI 4.4-91.1), and microgastria (adjusted OR 26.5, 95% CI 1.4-896.4). CONCLUSIONS: We identified that: age at fundoplication being within 12 months of age, severe scoliosis, and microgastria were risk factors for dumping syndrome after fundoplication, and that this information should be explaining to the family before conducting the fundoplication. SN - 1437-9813 UR - https://www.unboundmedicine.com/medline/citation/33388966/Risk_factors_of_dumping_syndrome_after_fundoplication_for_gastroesophageal_reflux_in_children_ DB - PRIME DP - Unbound Medicine ER -