Is the advanced age a contraindication to GERD laparoscopic surgery? Results of a long term follow-up

BMC Surgery

Research Article

Gianluca Rossetti¹  Marco Cimmino¹  Domenico Napoletano¹  Teresa Marra¹  Ludovica Guerriero¹  Paolo Guadagno¹  Vincenzo Napolitano¹  Giovanni Docimo¹  Francesco Moccia¹  Ludovico Docimo¹  Landino Fei¹  Beniamino Pascotto¹ 

[1] Division of Gastrointestinal Surgery Department of Anaesthesiological, Surgical and Emergency Sciences Second University of Naples-School of Medicine, Via Pansini 5, 80131, Naples, Italy;

关键词: Esophagitis;    Hiatal Hernia;    Lower Esophageal Sphincter;    Elderly Group;    Erosive Esophagitis;   

DOI  :  10.1186/1471-2482-13-S2-S13

来源: Springer

【 摘 要 】

BackgroundIn this prospective non randomized observational cohort study we haveevaluated the influence of age on outcome of laparoscopic totalfundoplication for GERD.MethodsSix hundred and twenty consecutive patients underwent total laparoscopicfundoplication for GERD. Five hundred and twenty-four patients were youngerthan 65 years (YG), and 96 patients were 65 years or older (EG). Thefollowing parameters were considered in the preoperative and postoperativeevaluation: presence, duration, and severity of GERD symptoms, presence of ahiatal hernia, manometric and 24 hour pH-monitoring data, duration ofoperation, incidence of complications and length of hospital stay.ResultsElderly patients more often had atypical symptoms of GERD and at manometricevaluation had a higher rate of impaired esophageal peristalsis incomparison with younger patients. The duration of the operation was similarbetween the two groups. The incidence of intraoperative and postoperativecomplications was low and the difference was not statistically significantbetween the two groups. An excellent outcome was observed in 93.0% of youngpatients and in 88.9% of elderly patients (p = NS).ConclusionsLaparoscopic antireflux surgery is a safe and effective treatment for GERDeven in elderly patients, warranting low morbidity and mortality rates and asignificant improvement of symptoms comparable to younger patients.

【 授权许可】

CC BY   
© Fei et al; licensee BioMed Central Ltd. 2013