Weight gain and resource utilization in infants after fundoplication versus gastrojejunostomy
Topic overview
Retrospective study of 125 infants comparing laparoscopic fundoplication versus gastrojejunostomy tube placement found that fundoplication resulted in significantly better weight gain (0.85-unit higher weight-for-age Z-score) and fewer unplanned healthcare encounters at one year. GJ patients required average of 3.3 planned tube exchanges within the first year.
Key takeaways
- Laparoscopic fundoplication resulted in 0.85-unit greater weight-for-age Z-score increase compared to gastrojejunostomy at 1 year
- GJ patients had significantly more unplanned healthcare encounters (4.2 vs 3.0) and required average 3.3 planned tube exchanges yearly
- For infants intolerant of gastric feeds, fundoplication may offer superior weight gain with reduced healthcare utilization burden
- Practice variation exists in surgical approach; standardized guidelines needed based on long-term weight and quality-of-life outcomes
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