My daughter is 18 months old (14 1/2) adjusted, and has persistent GI problems. Her Gastric Emptying study showed a moderate-severe delay in emptying - but all the other tests: reflux, swallowing, endoscopy studies came up negative. She vomits forcefully multiple times a day and is underweight for her age (8kg). She had a g-tube placed in August but there has been no significant increase in weight gain.
Our Doctors are now discussing a combination pylorplasty/Nissen but many of the pediatric GIs are reluctant to do the pyloroplasty due to the risk of dumping syndrome. I read a study by Dr. Jacob Lander at The Hospital for Sick Children in Canada which said the success of a pyloroplasty without complications was highly correlated to the number of pyloroplasty surgeries your surgeon performs each year...fifteen and higher being the lowest incidence of complications.
Do you know how I can find data about how many surgeries a surgeon performs in a year? In other words, who is still doing pylorplasys and who does the highest volume of them? I simply do not know where to begin.
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