Evidence map›Paper›PMID 40849846›Full record

ArticlePediatric surgery international2025

Is prophylactic fundoplication necessary? Laparoscopic fundoplication after gastrostomy vs non-gastrostomy patients.

Takahiro Jimbo, Kouji Masumoto, Yasuhisa Urita, Naoya Sakamoto, Takato Sasaki, Yuichi Shibui, Yudai Goto, Tomohiro Aoyama, Yuri Kinuta, Akio Kawami and 2 more

Abstract readComparative StudyLetter
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In one paragraph

Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Takahiro JimboDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan. jimtaka@md.tsukuba.ac.jp.
Kouji MasumotoDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Yasuhisa UritaDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Naoya SakamotoDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Takato SasakiDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Yuichi ShibuiDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Yudai GotoDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Tomohiro AoyamaDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Yuri KinutaDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Akio KawamiDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Hinako SakaiDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Yuki TakeDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.

Funding

Japan Society for the Promotion of Science 24K15809
6 · The paper itself

Abstract

introductionLaparoscopic fundoplication is a standard surgical procedure for gastroesophageal reflux disease (GERD). In Japan, it is frequently performed in children with severe motor and intellectual disabilities (SMID), many of whom also require gastrostomy for enteral nutrition. Prophylactic fundoplication during gastrostomy remains controversial due to concerns about post-operative complications and the limited number of patients who subsequently require fundoplication. PATIENTS AND

methodsThis study retrospectively analyzed 47 cases of fundoplication at Tsukuba University Hospital from 2013 to 2024, comparing patients who underwent fundoplication after gastrostomy (post-G group) with those undergoing primary fundoplication (Primary group).

resultsOutcomes including operative time, blood loss, and post-operative hospital stay showed no significant differences between both groups. No cases required open conversion, and post-operative complication rate was not significantly different. DISCUSSION: Our findings indicate that fundoplication can be safely performed after gastrostomy without increased surgical risks, contradicting concerns about adhesions or operative difficulties. Previous studies have also failed to establish a direct link between gastrostomy and GERD progression. Given the low incidence of GERD requiring fundoplication after gastrostomy, routine prophylactic fundoplication is unnecessary.

Indexed as

FundoplicationGastroesophageal RefluxGastrostomyLaparoscopyProphylactic Surgical ProceduresAdolescentChildChild, PreschoolFemaleHumansJapanMalePostoperative ComplicationsRetrospective StudiesTreatment OutcomeFundoplicationPost-gastrostomyProphylactic surgerySevere motor and intellectual disabilities

Identifiers

PMID40849846

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.