2022
Diverting Ileostomy in Children With Functional Constipation
Rodriguez L, Colliard K, Nurko S, Flores A, Buchmiller TL. Diverting Ileostomy in Children With Functional Constipation. Journal Of Pediatric Gastroenterology And Nutrition 2022, 75: 578-583. PMID: 35897140, DOI: 10.1097/mpg.0000000000003579.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChildChild, PreschoolColonConstipationFemaleGastrointestinal MotilityHumansIleostomyInfantMaleManometryRetrospective StudiesYoung AdultConceptsFunctional constipationOstomy closurePediatric functional constipationInstitutional review board approvalReview board approvalEnema failureColon motilityFurther surgeryInvasive evaluationRetrospective studySurgical interventionOstomyBoard approvalUseful interventionLarger studyConstipationSuccessful responsePatientsSurgeryChildrenRole of CMDemographicsAssociationInterventionIndicationsEvaluation of Gastroesophageal Reflux Disease in Children on the Autism Spectrum
Rodriguez L, Morley‐Fletcher A, Winter H, Timothy B. Evaluation of Gastroesophageal Reflux Disease in Children on the Autism Spectrum. Journal Of Pediatric Gastroenterology And Nutrition 2022, 75: 450-454. PMID: 35830732, DOI: 10.1097/mpg.0000000000003561.Peer-Reviewed Original ResearchConceptsGastroesophageal reflux diseaseSymptom correlationBravo wirelessReflux diseaseEvaluation of GERDMedian reflux indexNon-ASD childrenSignificant side effectsASD childrenNormal esophageal mucosaAutism spectrum disorderSelf-injurious behaviorChest painReflux indexGER episodesGER symptomsMale predominanceAbnormal studiesPatient populationEsophageal mucosaSupine positionLarge cohortSide effectsBehavioral symptomsStudy duration
2020
Long‐term Use of Bisacodyl in Pediatric Functional Constipation Refractory to Conventional Therapy
Bonilla S, Nurko S, Rodriguez L. Long‐term Use of Bisacodyl in Pediatric Functional Constipation Refractory to Conventional Therapy. Journal Of Pediatric Gastroenterology And Nutrition 2020, 71: 288-291. PMID: 32459741, DOI: 10.1097/mpg.0000000000002795.Peer-Reviewed Original ResearchMeSH KeywordsAdultBisacodylChildConstipationFemaleGastrointestinal AgentsHumansLaxativesMaleRetrospective StudiesConceptsConventional therapyLong-term usePediatric constipationFunctional constipationSide effectsTertiary care children's hospitalFrequency of BMPediatric functional constipationBowel movement frequencyLong-term followLong-term treatmentMedian doseRescue therapyMedian durationStandard therapyOsmotic laxativesRetrospective reviewPediatric populationChildren's HospitalStimulant laxativesMedian numberConstipationPatientsTreatment durationFavorable responseUtility of Colon Manometry in Guiding Therapy and Predicting Need for Surgery in Children With Defecation Disorders
Rodriguez L, Heinz N, Nurko S. Utility of Colon Manometry in Guiding Therapy and Predicting Need for Surgery in Children With Defecation Disorders. Journal Of Pediatric Gastroenterology And Nutrition 2020, 70: 232-237. PMID: 31978023, DOI: 10.1097/mpg.0000000000002504.Peer-Reviewed Original ResearchMeSH KeywordsChildColonConstipationDefecationFemaleGastrointestinal MotilityHumansMaleManometryRetrospective StudiesConceptsColon manometryChange of therapyGastrocolonic responseHigh response rateDefecation disordersResponse rateMedical interventionsLogistic regression analysisPresence/numberPediatric constipationFecal incontinenceSuccessful medical interventionDefecation problemsRetrospective reviewPredicting NeedPostsurgical evaluationSurgical interventionStimulant laxativesStudy indicationSurgeryTherapyFirst interventionInterventionConstipationManometry
2018
Primary placement of a skin-level Cecostomy Tube for Antegrade Colonic Enema Administration Using a Modification of the Laparoscopic-Assisted Percutaneous Endoscopic Cecostomy (LAPEC)
Graham CD, Rodriguez L, Flores A, Nurko S, Buchmiller TL. Primary placement of a skin-level Cecostomy Tube for Antegrade Colonic Enema Administration Using a Modification of the Laparoscopic-Assisted Percutaneous Endoscopic Cecostomy (LAPEC). Journal Of Pediatric Surgery 2018, 54: 486-490. PMID: 30409477, DOI: 10.1016/j.jpedsurg.2018.09.013.Peer-Reviewed Original ResearchMeSH KeywordsCecostomyChildChild, PreschoolColonColonoscopyConstipationEnemaFecal IncontinenceFemaleHumansLaparoscopyMaleRetrospective StudiesConceptsSkin-level deviceTube placementPrimary placementCecostomy tubeHigher BMIEnema administrationExact testSingle-institution retrospective reviewSuspension suturesAntegrade enema administrationCecostomy tube placementPercutaneous endoscopic cecostomyPEG tube placementMajority of patientsCase series studyAntegrade colonic enemaPercutaneous needle punctureSuccessful tube placementFisher's exact testBowel managementFecal incontinenceSevere constipationPatient characteristicsPEG placementSite infectionThoracoscopic esophagomyotomy for achalasia in the pediatric population: A retrospective cohort study
Duggan EM, Nurko S, Smithers CJ, Rodriguez L, Fox VL, Fishman SJ. Thoracoscopic esophagomyotomy for achalasia in the pediatric population: A retrospective cohort study. Journal Of Pediatric Surgery 2018, 54: 572-576. PMID: 30121126, DOI: 10.1016/j.jpedsurg.2018.07.013.Peer-Reviewed Original ResearchConceptsRetrospective cohort studyThoracoscopic esophagomyotomyPneumatic dilationCohort studyPediatric populationLength of stayInitial symptom reliefInvasive esophagomyotomyPreoperative dilationPostoperative painRecurrent symptomsMucosal injuryLaparoscopic approachSymptom reliefMedian lengthStandard treatmentEndoscopic guidanceOpen procedureEsophagomyotomyRare diseasePatientsAchalasiaEffective procedureDilationFundoplication
2016
Utility of Octreotide in Advancing Enteral Feeds in Children with Chronic Intestinal Pseudo-Obstruction
Ambartsumyan L, Flores A, Nurko S, Rodriguez L. Utility of Octreotide in Advancing Enteral Feeds in Children with Chronic Intestinal Pseudo-Obstruction. Pediatric Drugs 2016, 18: 387-392. PMID: 27520652, DOI: 10.1007/s40272-016-0189-x.Peer-Reviewed Original ResearchConceptsOctreotide responseEnteral toleranceAntroduodenal manometryChronic Intestinal Pseudo-ObstructionEfficacy of octreotideIntestinal phase IIIIntestinal Pseudo-ObstructionPresence of ileostomyTPN-dependent childrenTertiary care centerTotal parenteral nutritionMethodsThe study populationLimited effective therapiesHigher median increasePseudo-ObstructionParenteral nutritionEnteral feedsHigh morbidityProspective studyResultsA totalCare centerEffective therapyChallenging disorderAllergic reactionsStudy population
2015
Effect of anesthesia on gastroesophageal reflux in children: a study using BRAVO wireless pH study measurements
Rodriguez L, Morley-Fletcher A, Souza A, Rosengaus L, Nurko S. Effect of anesthesia on gastroesophageal reflux in children: a study using BRAVO wireless pH study measurements. Neurogastroenterology & Motility 2015, 27: 1553-1558. PMID: 26264213, PMCID: PMC4624481, DOI: 10.1111/nmo.12652.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentCapsule EndoscopyChildChild, PreschoolConscious SedationEsophageal pH MonitoringFemaleGastroesophageal RefluxHumansMaleRetrospective StudiesConceptsEffects of anesthesiaGastroesophageal refluxBravo wirelessStudy interpretationAnesthesia effectProportion of studiesRole of anesthesiaGER parametersCapsule placementAnesthesiaCutoff valueStudy durationAbstractTextSignificant increaseChildrenRefluxSignificant changesStudy measurementsDaysHoursBlock timePatientsStudyProportion
2013
Safety and Efficacy of Cyproheptadine for Treating Dyspeptic Symptoms in Children
Rodriguez L, Diaz J, Nurko S. Safety and Efficacy of Cyproheptadine for Treating Dyspeptic Symptoms in Children. The Journal Of Pediatrics 2013, 163: 261-267. PMID: 23419589, PMCID: PMC3661691, DOI: 10.1016/j.jpeds.2012.12.096.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolCyproheptadineDyspepsiaFemaleHumansInfantMaleRetrospective StudiesSerotonin AntagonistsYoung AdultConceptsEfficacy of cyproheptadineDyspeptic symptomsEarly vomitingSide effectsMultivariate analysisRetrospective open-label studyOpen-label studyUpper gastrointestinal symptomsPotent serotonin antagonistUse of cyproheptadineLack of responseLate vomitingAbdominal painGastrointestinal symptomsAntroduodenal manometryFunctional dyspepsiaNissen fundoplicationSerotonin antagonistsFirst therapyGastric emptyingFurther interventionTherapy responseVomitingCyproheptadineResponse rate
2012
Factors associated with successful decrease and discontinuation of antegrade continence enemas (ACE) in children with defecation disorders: a study evaluating the effect of ACE on colon motility
Rodriguez L, Nurko S, Flores A. Factors associated with successful decrease and discontinuation of antegrade continence enemas (ACE) in children with defecation disorders: a study evaluating the effect of ACE on colon motility. Neurogastroenterology & Motility 2012, 25: 140-e81. PMID: 23035840, PMCID: PMC3546133, DOI: 10.1111/nmo.12018.Peer-Reviewed Original ResearchMeSH KeywordsChildConstipationEnemaFemaleGastrointestinal MotilityHumansMaleManometryRetrospective StudiesConceptsAntegrade continence enemaColon manometryACE decreaseContinence enemaColon motilityDefecation disordersOlder ageReview of childrenGastrocolonic responseMotility indexOnly predictorMultivariate analysisDiscontinuationAbstractTextEnemaOutcomesPatientsSignificant increaseChildrenSuccessful decreaseDisordersAgeHAPCsMotilityCM changesClinical Presentation, Response to Therapy, and Outcome of Gastroparesis in Children
Rodriguez L, Irani K, Jiang H, Goldstein AM. Clinical Presentation, Response to Therapy, and Outcome of Gastroparesis in Children. Journal Of Pediatric Gastroenterology And Nutrition 2012, 55: 185-190. PMID: 22228004, DOI: 10.1097/mpg.0b013e318248ed3f.Peer-Reviewed Original ResearchConceptsPediatric gastroparesisPostviral gastroparesisPromotility therapySymptom resolutionClinical featuresMitochondrial dysfunctionYounger ageOutcomes of gastroparesisMore vomitingPromotility drugsAbdominal painClinical presentationMedian timeRetrospective reviewMale sexMean ageEffective therapyGastroparesisVariable symptomatologyMultivariate analysisTherapySymptomsMonthsLonger durationOverall rateInternal anal sphincter relaxation associated with bisacodyl‐induced colonic high amplitude propagating contractions in children with constipation: a colo‐anal reflex?
Rodriguez L, Siddiqui A, Nurko S. Internal anal sphincter relaxation associated with bisacodyl‐induced colonic high amplitude propagating contractions in children with constipation: a colo‐anal reflex? Neurogastroenterology & Motility 2012, 24: 1023-e545. PMID: 22757618, PMCID: PMC3465462, DOI: 10.1111/j.1365-2982.2012.01965.x.Peer-Reviewed Original ResearchConceptsHigh-amplitude peristaltic contractionsInternal anal sphincter relaxationAnal sphincter relaxationIAS relaxationSphincter relaxationAnal residual pressureManometry tracingsDefecation disordersConstipated childrenAnal relaxationHepatic flexureResting pressureDistal colonPeristaltic contractionsColonAbstractTextConstipationContraction propagationReflexChildrenImportant proportionContractionMost casesPatientsBisacodylEndoscopic intrapyloric injection of botulinum toxin A in the treatment of children with gastroparesis: a retrospective, open-label study
Rodriguez L, Rosen R, Manfredi M, Nurko S. Endoscopic intrapyloric injection of botulinum toxin A in the treatment of children with gastroparesis: a retrospective, open-label study. Gastrointestinal Endoscopy 2012, 75: 302-309. PMID: 22248598, PMCID: PMC3260460, DOI: 10.1016/j.gie.2011.09.042.Peer-Reviewed Original ResearchConceptsOpen-label studyBotulinum toxin APredictive factorsToxin ASingle tertiary care centerLong-term clinical outcomesRefractory gastroparesis symptomsSymptoms of gastroparesisPlacebo-controlled trialTertiary care centerManagement of childrenSingle case reportsTreatment of childrenGastroparesis refractoryGastroparesis symptomsIntrapyloric injectionReported exacerbationsSpastic disordersClinical improvementMedian durationOlder patientsBotulinum injectionMale patientsMedical therapyRetrospective review