{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:23:01Z","timestamp":1777447381103,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,10,7]],"date-time":"2020-10-07T00:00:00Z","timestamp":1602028800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Laparoscopic Nissen fundoplication with gastrostomy tube (LPNF-GT) placement is often indicated in children with congenital cardiac diseases (CCDs) for nutritional optimization. This study aims to evaluate institutional outcomes of LPNF-GT, with a team-based approach in operative management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Five years of an institutional database at a tertiary care children\u2019s hospital was queried for LPNF-GT in children with CCDs. Descriptive analyses were performed. A national comparison was performed utilizing the 2012-2013 Pediatrics NSQIP database, using propensity score matching. Outcome measures of interest were operative-time, unplanned readmission, and 30-day mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A team-based approach was utilized in 51 cases. Median operative time was 68.5 (IQR: 48-89) minutes. All patients tolerated tube feeds postoperatively. All patients survived 30 days post surgery. When compared to 136 similarly matched children nationally, the risk-adjusted operative time with a team-based approach was 47.38 (12.43-82.33) minutes shorter ( P &lt; .05). There were no statistically significant differences in the likelihood of being in the hospital past 30 days, unplanned readmissions, and mortality ( P &gt; .05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>LPNF-GT can be safely performed in children with CCDs. A team-based approach demonstrates improved operative time and achieved similar outcomes when compared nationally.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003134820951472","type":"journal-article","created":{"date-parts":[[2020,10,7]],"date-time":"2020-10-07T10:08:04Z","timestamp":1602065284000},"page":"427-431","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A Team-Based Approach for Children With Congenital Cardiac Disease Undergoing Antireflux Procedure With Gastrostomy"],"prefix":"10.1177","volume":"87","author":[{"given":"Adil A.","family":"Shah","sequence":"first","affiliation":[{"name":"Department of General and Thoracic Surgery, Children\u2019s National Health System, Washington, DC, USA"},{"name":"Department of Surgery, Howard University Hospital and College of Medicine, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Matisoff","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Children\u2019s National Medical Center, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Deutsch","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Children\u2019s National Medical Center, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Sandler","sequence":"additional","affiliation":[{"name":"Department of General and Thoracic Surgery, Children\u2019s National Health System, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"Kane","sequence":"additional","affiliation":[{"name":"Department of General and Thoracic Surgery, Children\u2019s National Health System, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikael","family":"Petrosyan","sequence":"additional","affiliation":[{"name":"Department of General and Thoracic Surgery, Children\u2019s National Health System, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,7]]},"reference":[{"key":"bibr1-0003134820951472","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0501-2"},{"key":"bibr2-0003134820951472","doi-asserted-by":"publisher","DOI":"10.1177\/155335060200900303"},{"key":"bibr3-0003134820951472","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.01.050"},{"key":"bibr4-0003134820951472","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6164-6"},{"key":"bibr5-0003134820951472","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.11.057"},{"key":"bibr6-0003134820951472","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000001499"},{"issue":"3","key":"bibr7-0003134820951472","first-page":"138","volume":"1","author":"Dallemagne B.","year":"1991","journal-title":"Surg Laparosc Endosc"},{"key":"bibr8-0003134820951472","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(93)90231-9"},{"key":"bibr9-0003134820951472","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-1185"},{"key":"bibr10-0003134820951472","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-001-9040-7"},{"key":"bibr11-0003134820951472","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(97)90597-2"},{"key":"bibr12-0003134820951472","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900536"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003134820951472","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003134820951472","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003134820951472","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:34:13Z","timestamp":1777379653000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003134820951472"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,7]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1177\/0003134820951472"],"URL":"https:\/\/doi.org\/10.1177\/0003134820951472","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,7]]}}}