Abstract

I admired the recently published study by Knatten et al., which prospectively assessed a cohort of children, with and without neurological impairment, undergoing fundoplication for gastroesophageal reflux disease (GERD) [ [1] Knatten C.K. Kvello M. Fyhn T.J. et al. Nissen fundoplication in children with and without neurological impairment: a prospective cohort study. J Pediatr Surg. 2016; 51: 1115-1121 Abstract Full Text Full Text PDF PubMed Scopus (21) Google Scholar ]. Given the extremely poor quality of existing literature, the authors are to be congratulated for gathering some of the best data yet, despite the relatively small cohort [ [2] Martin K. Deshaies C. Emil S. Outcomes of pediatric laparoscopic fundoplication: a critical review of the literature. Can J Gastroenterol Hepatol. 2014; 28: 97-102 Crossref PubMed Scopus (25) Google Scholar ]. The study was conducted as part of a randomized controlled trial comparing open and laparoscopic fundoplication [ 3 Knatten C.K. Fyhn T.J. Edwin B. et al. Thirty-day outcome in children randomized to open and laparoscopic Nissen fundoplication. J Pediatr Surg. 2012; 47: 1990-1996 Abstract Full Text Full Text PDF PubMed Scopus (27) Google Scholar , 4 Fyhn T.J. Knatten C.K. Edwin B. et al. Randomized controlled trial of laparoscopic and open fundoplication in children. Ann Surg. 2015; 261: 1061-1067 Crossref PubMed Scopus (30) Google Scholar ].

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