Outcomes of laparoscopic antireflux procedures

Eubanks, Thomas R.; Omelanczuk, Pablo; Richards, Christina; Pohl, Dieter

doi:10.1016/s0002-9610(00)00363-9

Cited by 92 publications

(43 citation statements)

References 3 publications

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“…Many authors supported the realization of a partial fundoplication in patients with impaired esophageal peristalsis to lower the incidence of persistent postoperative dysphagia [30][31][32] ; moreover, partial wrap was considered as effective as total wrap to control gastroesophageal reflux, and short-term follow-up seemed to validate the choice of partial fundoplication [33,34] . Later on, partial antireflux procedure showed its inadequacy to assure a good protection from reflux at a long-term follow-up [35][36][37] . Livingston [38] reported a 1.4% recurrence rate of reflux in patients with total fundoplication versus 6.7% in those with partial fundoplication.…”

Section: Discussionmentioning

confidence: 99%

Influence of age on outcome of total laparoscopic fundoplication for gastroesophageal reflux disease

Pizza

Rossetti²,

Limongelli³

et al. 2007

WJG

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AIM: To demonstrate that age does not influence the choice of treatment for gastroesophageal reflux disease (GERD). We hypothesized that the outcome of total fundoplication in patients > 65 years is similar to that of patients aged ≤ 65 years. METHODS:Fo u r h u n d re d a n d t w e n ty c o n s e c ut i ve p a t i e n t s u n d e r w e n t t o t a l l a p a ro s c o p i c fu ndoplication for GERD. Three hundred and fifty-five patients were younger than 65 years (group Y), and 65 patients were 65 years or older (group E). T h e fo l l o w i n g e l e m e n t s w e re c o n s i d e re d : p re sence, duration, and severity of GERD symptoms; p re s e n c e o f a h i a t a l h e r n i a ; m a n o m e t r i c e va l uation, 24 h pH-monitoring data, duration of operation; incidence of complications; and length of hospital stay. RESULTS:Elderly patients more often had atypical symptoms of GERD and at manometric evaluation had a higher rate of impaired esophageal peristalsis in comparison with younger patients. A mild intensity of heartburn often leads physicians to underestimate the severity of erosive esophagitis. The duration of the operation was similar between the two groups. The incidence of intraoperative and postoperative complications was low and the difference was not statistically significant between the two groups. An excellent outcome was observed in 92.9% young patients and 91.9% elderly patients. CONCLUSION:Laparoscopic antireflux surgery is a safe and effective treatment for GERD even in elderly patients, warranting low morbidity and mortality rates and a significant improvement of symptoms comparable to younger patients.

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Section: Discussionmentioning

confidence: 99%

Influence of age on outcome of total laparoscopic fundoplication for gastroesophageal reflux disease

Pizza

Rossetti²,

Limongelli³

et al. 2007

WJG

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“…Although this was not possible in the present study, the authors were able to take advantage of 24-h pH monitoring data obtained 1 year after surgery and prospective clinical follow-up focusing on symptom control and quality of life, as well as the intake of antisecretory drugs. This methodological approach is supported by the close association between symptom control and outcome, as shown by endoscopy and acid reflux measurements 25 .…”

Section: Discussionmentioning

confidence: 93%

Ten-year results of a randomized clinical trial of laparoscopic total fundoplication with or without division of the short gastric vessels

Mardani

Lundell

Lönroth

et al. 2008

British Journal of Surgery

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“…Eubanks et al [26] performed 24-hour pH testing 8-12 weeks postoperatively in 228 GERD patients who had undergone this procedure. Normal acid exposure was defined as a distal esophageal pH !4 less than 4% of total time.…”

Section: Current Role Of Medical Therapy In Barrett's Esophagusmentioning

confidence: 99%

Medical Therapy versus Antireflux Surgery in Barrett’s Esophagus: What Is the Best Therapeutic Approach?

Alexander¹,

Hinder²

2000

Dig Dis

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We conducted a review of the literature comparing medical treatment with antireflux surgery in patients with Barrett’s esophagus (BE). In particular, we wanted to assess the efficacy of medical and surgical therapies in preventing the progression of Barrett’s epithelium to dysplasia or adenocarcinoma of the esophagus. In general, few BE patients show complete regression of BE epithelium following medical or surgical therapy. The incidence of developing dysplasia or cancer following surgical therapy appears to be less than with medical therapy; however, there is an insufficient number of current, randomized controlled studies to confirm this. Surveillance of BE is required regardless of treatment. This review suggests that there may be a trend in support of surgery being somewhat better than medical therapy in the prevention of BE progression and adenocarcinoma. We suggest that patients with BE should be considered for antireflux surgery – in particular, certain subgroups of BE patients.

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Outcomes of laparoscopic antireflux procedures

Cited by 92 publications

References 3 publications

Influence of age on outcome of total laparoscopic fundoplication for gastroesophageal reflux disease

Influence of age on outcome of total laparoscopic fundoplication for gastroesophageal reflux disease

Ten-year results of a randomized clinical trial of laparoscopic total fundoplication with or without division of the short gastric vessels

Medical Therapy versus Antireflux Surgery in Barrett’s Esophagus: What Is the Best Therapeutic Approach?

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