Mac Harmon

4 statements · 2 topics · summaries given as host listed separately

Pectus Excavatum · guest expert

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Transmigration was 90% of the reasons for needing to redo fundoplications in Birmingham and Kansas City practices
clinical · Gastroesophageal Reflux

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Mac's statements about Gastroesophageal Reflux 2 statements

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Gastoesophageal Reflux: Update Course 2015

Statement Transmigration was 90% of the reasons for needing to redo fundoplications in Birmingham and Kansas City practices Open
Quotation If you don't have transmigration as a problem in your practice, I wouldn't change anything, but in our practices in Birmingham and in Kansas City, it seemed like transmigration was the 90% of the reasons why we were having to redo them, and that's really what led to this study is trying to find a way to reduce transmigration and minimal mobilization, uh, seems to do that. Open
Mac's statements about Gastroesophageal Reflux Disease 2 statements

Open the Gastroesophageal Reflux Disease collection →

Gastoesophageal Reflux: Update Course 2015

Quotation If you don't have transmigration as a problem in your practice, I wouldn't change anything, but in our practices in Birmingham and in Kansas City, it seemed like transmigration was the 90% of the reasons why we were having to redo them, and that's really what led to this study is trying to find a way to reduce transmigration and minimal mobilization, uh, seems to do that. Open
Statement Transmigration was 90% of the reasons for needing to redo fundoplications in Birmingham and Kansas City practices Open

Summaries Mac gave as host · 16 summaries

Recaps of other experts' statements, not Mac's own clinical position.

Summaries Mac gave as host · Gastroesophageal Reflux 8 summaries

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Gastoesophageal Reflux: Update Course 2015

Host summary Mac Harmon summarizing the discussion: Gastroesophageal reflux occurs in more than two-thirds of otherwise healthy infants and is discussed at 25% of all 6-month pediatric visits Open
Host summary Mac Harmon summarizing the discussion: 2009 NASPGHAN and ESPGHAN guidelines state surgical approaches should be reserved for children with intractable symptoms unresponsive to medical therapy and those at risk for life-threatening complications of reflux disease Open
Host summary Mac Harmon summarizing the discussion: AAP guidelines note H2 antagonists or PPIs may have risk factors for pneumonia, gastroenteritis, candidemia, and NEC in preterm infants Open
Host summary Mac Harmon summarizing the discussion: Meta-analysis of 400 fundoplications versus 125 gastrojejunostomy tubes showed no difference in pneumonia rate or mortality, but 29% major complications in fundo group versus lower rate in GJ group, and 70% minor complications in GJ group Open
Host summary Mac Harmon summarizing the discussion: RCT of 44 laparoscopic versus 43 open fundoplications showed recurrence of reflux was 37% in laparoscopic group and only 7% in open group, with 5.2% higher risk of recurrence in laparoscopic group Open
Host summary Mac Harmon summarizing the discussion: RCT of laparoscopic versus open fundoplication in children under age 2 (21 open, 18 laparoscopic over 7 years) showed no difference in length of stay, time to full feeds, or analgesic requirements, but laparoscopic had longer operative time and higher surgical charges Open
Host summary Mac Harmon summarizing the discussion: Meta-analysis showed improved outcomes following complete fundoplication compared to partial wrap, though the difference was barely significant Open
Host summary Mac Harmon summarizing the discussion: Study showed 4% incidence of changes on upper GI prior to G-tube placement, with 80% of that 4% due to malrotation Open
Summaries Mac gave as host · Gastroesophageal Reflux Disease 8 summaries

Open the Gastroesophageal Reflux Disease collection →

Gastoesophageal Reflux: Update Course 2015

Host summary Mac Harmon summarizing the discussion: Gastroesophageal reflux occurs in more than two-thirds of otherwise healthy infants and is discussed at 25% of all 6-month pediatric visits Open
Host summary Mac Harmon summarizing the discussion: 2009 NASPGHAN and ESPGHAN guidelines state surgical approaches should be reserved for children with intractable symptoms unresponsive to medical therapy and those at risk for life-threatening complications of reflux disease Open
Host summary Mac Harmon summarizing the discussion: AAP guidelines note H2 antagonists or PPIs may have risk factors for pneumonia, gastroenteritis, candidemia, and NEC in preterm infants Open
Host summary Mac Harmon summarizing the discussion: Meta-analysis of 400 fundoplications versus 125 gastrojejunostomy tubes showed no difference in pneumonia rate or mortality, but 29% major complications in fundo group versus lower rate in GJ group, and 70% minor complications in GJ group Open
Host summary Mac Harmon summarizing the discussion: RCT of 44 laparoscopic versus 43 open fundoplications showed recurrence of reflux was 37% in laparoscopic group and only 7% in open group, with 5.2% higher risk of recurrence in laparoscopic group Open
Host summary Mac Harmon summarizing the discussion: RCT of laparoscopic versus open fundoplication in children under age 2 (21 open, 18 laparoscopic over 7 years) showed no difference in length of stay, time to full feeds, or analgesic requirements, but laparoscopic had longer operative time and higher surgical charges Open
Host summary Mac Harmon summarizing the discussion: Meta-analysis showed improved outcomes following complete fundoplication compared to partial wrap, though the difference was barely significant Open
Host summary Mac Harmon summarizing the discussion: Study showed 4% incidence of changes on upper GI prior to G-tube placement, with 80% of that 4% due to malrotation Open