J Pediatr Surg December 2022 PMID 35618494

Anti-reflux surgery in children with congenital diaphragmatic hernia: A prospective cohort study on a controversial practice.

Louise Montalva, Elisabeth Carricaburu, Rony Sfeir, Virginie Fouquet, Naziha Khen-Dunlop, Frederic Hameury, Nicoleta Panait, Alexis Arnaud, Hubert Lardy, Françoise Schmitt, Christian Piolat, Frederic Lavrand, Quentin Ballouhey, Aurélien Scalabre, Erik Hervieux

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Mentions

Peak: 9 in May 2023

across 2 sources since Jun 2022

Extended reach

42,590

potential audience

Total likes

Video views

137

Mentions per month

Jun 2022 – Jun 2024

Where it's discussed

X / Twitter18 posts
YouTube2 videos

AI synopsis

What people are saying

The discussions highlight the controversy around preventive fundoplication, with posts referencing the variability across centers and questioning the routine use based on the study's findings. Words like 'not necessarily helpful' and 'raises questions' demonstrate critical engagement and concern about clinical implications, emphasizing the potential influence on pediatric surgical practices.

AgreementModerate agreement

Most discussions acknowledge the study's findings, with some posts questioning the routine use of preventive fundoplication based on the presented evidence.

InterestModerate interest

The topics are relevant to pediatric surgery; posts show moderate interest in new research outcomes and clinical practices.

EngagementModerate engagement

Participants analyze implications, citing factors like the variability across centers and the predictive factors for fundoplication, indicating moderate proactive engagement.

ImpactModerate impact

The discussions reflect recognition of the study's potential to influence clinical decisions and surgical approaches, though no one explicitly claims it will revolutionize practice.

Abstract in brief

This study examines the practice of performing preventive fundoplication during surgery for children with congenital diaphragmatic hernia (CDH), revealing significant variability across centers and indicating that preventive procedures do not reduce the need for later curative surgery.
The research identified key predictive factors for needing fundoplication, such as prenatal diagnosis, intrathoracic liver, fetal tracheal occlusion, and patch repair; notably, a patch repair was the sole independent predictor for requiring subsequent curative fundoplication.
Overall, the findings suggest that preventive fundoplication in children with patch CDH may not provide gastrointestinal benefits and is associated with a higher rate of additional fundoplication procedures, raising questions about its routine use in this context.

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All mentions

Antireflux Surgery in Children with Congenital Diaphragmatic Hernia

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CDH International

@cdhintl · X

RT @StayCurrentMD: "Anti-reflux surgery in children with congenital diaphragmatic hernia: A prospective cohort study on a controversial pra…

Jun 7, 2024 · 6 shares · 2,261 followers View post →