{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:56:11Z","timestamp":1773269771963,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T00:00:00Z","timestamp":1705104000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Laparoscopic gastrostomy is a frequently performed procedure in children requiring long\u2010term enteral nutrition. The role of prophylactic anti\u2010reflux surgery during gastrostomy placements is controversial. The current study aims to evaluate the role of prophylactic anti\u2010reflux procedures during gastrostomy placement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective single\u2010center analysis of all children without reflux receiving laparoscopic gastrostomy from January 2005 through December 2021 was performed. Demographics and clinical outcomes were compared between patients receiving gastrostomy placement alone and patients receiving gastrostomy with prophylactic anti\u2010reflux surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 79 patients had a confirmed absence of reflux by a 24\u2010h pH\/impedance study before operation. Thirty\u2010six of these patients underwent prophylactic anti\u2010reflux surgery (PAR) while 43 received gastrostomy (PG) alone. The operative time and conversion rate were significantly higher in the PAR group (140.5\u00a0\u00b1\u00a067.5 vs. 80.2\u00a0\u00b1\u00a066.8\u00a0min, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.0001 and 8.3% vs. 0%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04). There were no major complications in either group. De novo reflux was detected in five patients (11.6%) in the PG group. None of these patients progressed to require anti\u2010reflux surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The occurrence of de novo reflux after laparoscopic gastrostomy was low and could be managed without anti\u2010reflux surgery. A routine pre\u2010operative pH study is helpful for appropriate patient selection to avoid unnecessary anti\u2010reflux surgery, which lengthens operative time and increases the conversion rate.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12078","type":"journal-article","created":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T10:34:27Z","timestamp":1705142067000},"page":"739-745","source":"Crossref","is-referenced-by-count":2,"title":["Prophylactic anti\u2010reflux procedure for children undergoing laparoscopic gastrostomy: Rethinking of the routine practice"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2343-2597","authenticated-orcid":false,"given":"Adrian Chi Heng","family":"Fung","sequence":"first","affiliation":[{"name":"Department of Surgery School of Clinical Medicine Li Ka Shing Faculty of Medicine University of Hong Kong  Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu Ning","family":"Ooi","sequence":"additional","affiliation":[{"name":"Department of Surgery School of Clinical Medicine Li Ka Shing Faculty of Medicine University of Hong Kong  Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho Ming","family":"Hui","sequence":"additional","affiliation":[{"name":"Department of Surgery School of Clinical Medicine Li Ka Shing Faculty of Medicine University of Hong Kong  Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle Kam Yan","family":"Mok","sequence":"additional","affiliation":[{"name":"Department of Surgery School of Clinical Medicine Li Ka Shing Faculty of Medicine University of Hong Kong  Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick Ho Yu","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Surgery School of Clinical Medicine Li Ka Shing Faculty of Medicine University of Hong Kong  Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7371-503X","authenticated-orcid":false,"given":"Kenneth Kak Yuen","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Surgery School of Clinical Medicine Li Ka Shing Faculty of Medicine University of Hong Kong  Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/mpg.0000000000000468"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431\u2010018\u20103304\u2010x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/flgastro\u20102022\u2010102356"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/mpg.0000000000002042"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11071555"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/mpg.0000000000002530"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.08.034"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1986.02140210097034"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20104804(87)90034\u20105"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0016\u20105085(94)93969\u20101"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-11202-7_99"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010198506000\u201000010"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010012\u20102221\u20108"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13037\u2010016\u20100117\u20106"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010014\u20103629\u20100"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010020\u201004845\u20103"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010017\u20105518\u20109"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010147\u20108\u2010200710160\u201000010\u2010w1"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/mpg.0000000000001889"},{"issue":"21","key":"e_1_2_9_21_1","first-page":"3905","article-title":"Perioperative and Late Outcomes of Laparoscopic Fundoplication for Neurologically Impaired Children with Gastro\u2010Esophageal Reflux Disease","volume":"125","author":"Wong K. K.","year":"2012","journal-title":"Chinese Medical Journal"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.giec.2015.09.001"},{"issue":"10","key":"e_1_2_9_23_1","first-page":"674","article-title":"The Stamm Gastrostomy: A Sound Procedure","volume":"59","author":"Au F. C.","year":"1993","journal-title":"The American Surgeon"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0016\u20105107(81)73133\u2010x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100039\u20103401988"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005176\u2010199803000\u201000006"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100030\u20101249677"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010023\u201005398\u2010x"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010016\u20104028\u20105"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2018.02.003"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005176\u2010198811000\u201000007"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjs.12078","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T06:39:20Z","timestamp":1759473560000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjs.12078"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,13]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/wjs.12078"],"URL":"https:\/\/doi.org\/10.1002\/wjs.12078","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,13]]}}}