Your browser doesn't support javascript.
loading
Short- and long-term results after laparoscopic floppy Nissen fundoplication in elderly versus non-elderly patients.
Schietroma, Mario; Colozzi, Sara; Romano, Lucia; Pessia, Beatrice; Giuliani, Antonio; Vicentini, Vincenzo; Recchia, Carlo Luigi; Carlei, Francesco.
Afiliación
  • Schietroma M; Department of Surgery, University of L'Aquila, L'Aquila, Italy.
  • Colozzi S; Department of Surgery, University of L'Aquila, L'Aquila, Italy.
  • Romano L; Department of Surgery, University of L'Aquila, L'Aquila, Italy.
  • Pessia B; Department of Surgery, University of L'Aquila, L'Aquila, Italy.
  • Giuliani A; Department of Surgery, University of L'Aquila, L'Aquila, Italy.
  • Vicentini V; Department of Surgery, University of L'Aquila, L'Aquila, Italy.
  • Recchia CL; Department of Surgery, Hospital SS. Trinità, Sora, Italy.
  • Carlei F; Department of Surgery, University of L'Aquila, L'Aquila, Italy.
J Minim Access Surg ; 16(3): 256-263, 2020.
Article en En | MEDLINE | ID: mdl-31031314
BACKGROUND: Laparoscopic anti-reflux surgery could be of benefit in a subset of elderly patients with gastroesophageal reflux disease. However, there are few reports that have evaluated the long-term results. This study examined the effects of age on the short- and long-term (for at least 5 years) outcomes after laparoscopic Nissen fundoplication (LNF). PATIENTS AND METHODS: Patients were divided into four groups as follows: young (18-49); adult (50-69); and elderly (70-84), and very elderly (85-91). The database (recorded prospectively) included operating duration, conversion, intra- and early post-operative complication and late outcomes. Mean follow-up was 14.5 years (range 5-24 years). RESULTS: Five hundred and sixty-nine patients met the inclusion criteria: young n = 219 (38.4%); adult n = 248 (43.5%); elderly n = 91 (16.0%) and very elderly n = 11 (1.9%). Hiatal hernia (type I and III) was significantly less frequent in young and adult patients (P < 0.0001). The operation was significantly longer in elderly and very elderly patients (P < 0.001); the use of drains (P < 0.001) and grafts (P < 0.0001) for hiatal hernia repair was less in young and adult patients. The hospital stay, conversion (5.4%), intra-operative and early post-operative complications were not influenced by age. Dysphagia was evenly distributed among the groups. Forty-eight (8.4%) patients had recurrence: 15 in the young group (6.8%), 18 in the adult group (7.2%), 11 in the elderly group (12%) and 4 in the very elderly group (36.3%) (P < 0.0001). CONCLUSIONS: Age does not influence short- and long-term outcomes following LNF. Control of reflux in the elderly is worse than adult patients. Therefore, ageing is a relative contraindication to LNF.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Minim Access Surg Año: 2020 Tipo del documento: Article País de afiliación: Italia Pais de publicación: India
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Minim Access Surg Año: 2020 Tipo del documento: Article País de afiliación: Italia Pais de publicación: India