Laparoscopic versus Open Pyloromyotomies: Outcomes and Disparities in Pyloric Stenosis
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Jan 2022 · 1 min read
In brief
In brief
Nationwide analysis of 30,915 pyloromyotomies for hypertrophic pyloric stenosis reveals low complication rates but notable socioeconomic disparities in outcomes. Patients from low-income households showed higher rates of malnutrition and weight loss at readmission, highlighting equity gaps in postoperative care and follow-up.
Written by the GCMD Library team from the article.
Purpose
Pyloromyotomy for hypertrophic pyloric stenosis (HPS) is one of the most common non-elective operations performed in the neonatal period. This project aims to explore outcomes of pyloromyotomy and compare differences between laparoscopic versus open pyloromyotomies in newborns diagnosed with HPS.
Methods
The Nationwide Readmissions Database (NRD) from 2010-2014 was queried to identify patients diagnosed with HPS that underwent repair.
Results
In total, 30,915 children (18% female) underwent pyloromyotomy for HPS. Median length of stay for index admission was 2 days. A total of 212 (0.7%) patients required a redo pyloromyotomy. 127 (60%) were performed during index admission. Readmission rate at 30 days was 3% and 5% at one year, and 22% presented to a different hospital. The most common indications for readmission were feeding intolerance (24%), dehydration (10%), and malnutrition (10%). Patients from low-income households were more likely to present with malnutrition and weight loss (9% vs 4%, p