Laparoscopic Antireflux Surgery Provides Excellent Results and Quality of Life in Gastroesophageal Reflux Disease Patients With Respiratory Symptoms

Ciovica, Ruxandra; Gadenstätter, Michael; Klingler, Antón; Neumayer, Christoph; Schwab, G.

doi:10.1016/j.gassur.2005.02.008

Cited by 28 publications

(34 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regurgitation rates have also shown to be significantly improved following surgery, with improvement rates of 87-97% reported [109, 143,188,190,195,198,202,203,227] (level I-III). Although recurrent or new-onset regurgitation has been reported in up to 23% [43] (level III) of patients following surgery, the majority of studies reported rates ranging from 0% to 11% [107,109,110,143,193,196,200,201,[214][215][216]221] (level I-III).…”

Section: Discussionmentioning

confidence: 99%

“…Response of atypical reflux symptoms to antireflux surgery Improvement of atypical symptoms has been reported in 67-92% of patients after antireflux surgery [190,193,196,209] (level II-III). Specifically, cough has been shown to significantly improve following laparoscopic antireflux surgery [20,190,193,221,223,226] (level II-III) with cure rates of 53% [226] (level II), short-term improvement rates from 69 to 100% [20, 221,223,226] (level II), and long-term improvement rates of 71% [223] (level II).…”

Section: Discussionmentioning

confidence: 99%

“…Specifically, cough has been shown to significantly improve following laparoscopic antireflux surgery [20,190,193,221,223,226] (level II-III) with cure rates of 53% [226] (level II), short-term improvement rates from 69 to 100% [20, 221,223,226] (level II), and long-term improvement rates of 71% [223] (level II). Hoarseness [190,193,202,221] (level II-III), sore throat [190,193] (level II-III), and bronchitis [193,202] (level III) have also been reported significantly improved following surgery. Improvement has also been reported for pulmonary symptoms [143,196] (level II-III), aspiration [202,206] (level III), and wheezing [190,206] (level II-III) symptoms.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Guidelines for surgical treatment of gastroesophageal reflux disease

et al. 2010

View full text Add to dashboard Cite

PreambleThe guidelines for the surgical treatment of gastroesophageal reflux disease (GERD) are a series of systematically developed statements to assist physicians and patient decisions about the appropriate use of laparoscopic surgery for GERD. The statements included in this guideline are the product of a systematic review of published literature on the topic, and the recommendations are explicitly linked to the supporting evidence. The strengths and weaknesses of the available evidence are highlighted and expert opinion sought where the evidence is lacking. This is an update of previous guidelines on this topic (last revision 06/2001) as new information has accumulated. DisclaimerGuidelines for clinical practice are intended to indicate preferable approaches to medical problems as established by experts in the field. These recommendations will be based on existing data or a consensus of expert opinion when little or no data are available. Guidelines are applicable to all physicians who address the clinical problem(s) without regard to specialty training or interests, and are intended to indicate the preferable, but not necessarily the only, acceptable approaches due to the complexity of the healthcare environment. Guidelines are intended to be flexible. Given the wide range of specifics in any health care problem, the surgeon must always choose the course best suited to the individual patient and the variables in existence at the moment of decision.Guidelines are developed under the auspices of the Society of American Gastrointestinal and Endoscopic Surgeons and its various committees, and approved by the Board of Governors. Each clinical practice guideline has been systematically researched, reviewed, and revised by the guidelines committee, and reviewed by an appropriate multidisciplinary team. The recommendations are therefore considered valid at the time of its production based on the data available. Each guideline is scheduled for periodic review to allow incorporation of pertinent new developments in medical research knowledge, and practice. Literature review methodWe identified 448 relevant articles. The abstracts were reviewed by four committee members (D.S., W.W.H., P.R.R., G.P.K.) and divided into the following categories:(a) Randomized studies, metaanalyses, and systematic reviews (b) Prospective studies (c) Retrospective studies (d) Case reports (e) Review articles Randomized controlled trials, metaanalyses, and systematic reviews were selected for further review, along with prospective and retrospective studies that included at least 50 patients. Studies with smaller samples were considered when additional evidence was lacking. The most recent reviews were also included. All case reports, older reviews, and smaller studies were excluded. According to these exclusion criteria, 227 articles were reviewed. Whenever the available evidence from level I studies was considered to be adequate, lower evidence level studies were not considered. A review of the available evidence on endoluminal treatment of...

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Guidelines for surgical treatment of gastroesophageal reflux disease

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Though the operation can determine anatomical and functional improvements in the lower esophageal sphincter, it may not be satisfactory to control the symptoms of GERD, when In this group, age ranged from 23 to 81 years, mean 51.8 years, which was not different from literature data, varying from 39.6 to 59.7 5,19,21 . Regarding to gender, there was some disagreement with several studies in the literature, with higher prevalence in women and varying from 57 to 61.8% 19,21 .In this sample, was found 48.8% of females, similar to Ciovica et al 5 , with 48.4%. GERD assumes no clear preference for gender, as has been demonstrated in the literature, despite the known association between GERD symptoms and pregnancy 8 .…”

Section: Discussionmentioning

confidence: 59%

“…In the literature, most studies makes comparison between QOL scores at pre and postoperative times, as well as checks with prolonged clinical treatment, indicating improvement after surgery. This modality is better than drug therapy when considering quality of life and patient satisfaction 5,6,15,27 . While this study did not confront the data pre and post treatment, so, is not allowed to say whether there was an improvement in the QOL of patients.…”

Section: Discussionmentioning

confidence: 99%

Qualidade de vida do paciente submetido à cirurgia videolaparoscópica para tratamento para doença do refluxo gastroesofágico

Andrade¹,

Almeida²,

Santos³

et al. 2012

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

show abstract

Surgical Treatment for Laryngopharyngeal Reflux Disease

Lechien

Dapri

Dequanter

et al. 2019

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

IMPORTANCE Laryngopharyngeal reflux (LPR) is a prevalent disease that is usually treated with diet, lifestyle modifications, and proton pump inhibitor therapy. However, nearly 10% to 30% of patients do not achieve adequate acid suppression even with high doses of proton pump inhibitors. For these patients with resistant disease, fundoplication may be recommended but the success rate of fundoplication surgery on laryngopharyngeal symptoms and findings remains uncertain. OBJECTIVE To determine whether fundoplication is associated with control of signs and symptoms in patients with LPR.EVIDENCE REVIEW A literature search was conducted on PubMed, Cochrane Library, and Scopus according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guideline to identify studies published between 1990 and 2018 about the efficacy of fundoplication on clinical outcomes of LPR. Three investigators screened publications for eligibility and exclusion based on predetermined criteria. Study design, patient characteristics, diagnostic method, exclusion criteria, treatment characteristics, follow-up, and quality of the outcome assessment were evaluated.FINDINGS Of the 266 studies identified, 34 met the inclusion criteria, accounting for 2190 patients with LPR (1270 women and 920 men; mean [SD] age at the time of surgery, 49.3 [6.3] years). A weighted mean of 83.0% of patients (95% CI, 79.7%-86.3%) experienced improvement and a weighted mean of 67.0% of patients (95% CI, 64.1%-69.9%) experienced a disappearance of symptoms, but there is a high level of methodological heterogeneity among studies according to diagnostic method, exclusion criteria, and outcomes used to assess the efficacy of fundoplication. A pH study without impedance study was used in most studies but with various inclusion criteria. According to results of an a priori assessment, the clinical outcomes used were overall poor, excluding many symptoms and findings associated with LPR. CONCLUSION AND RELEVANCEThe reported studies of fundoplication in LPR disease have important heterogeneity in method of diagnosis, exclusion criteria, symptoms, and signs assessed as therapeutic outcomes; therefore, this systematic review was nonconclusive regarding whether surgery for LPR disease is associated with effective control of sight and symptoms. Otolaryngologists, gastroenterologists, and surgeons must establish a diagnostic criterion standard, clear indications for surgery, and future clinical outcomes to precisely assess the effectiveness of treatment.

show abstract

Laparoscopic Antireflux Surgery Provides Excellent Results and Quality of Life in Gastroesophageal Reflux Disease Patients With Respiratory Symptoms

Cited by 28 publications

References 21 publications

Guidelines for surgical treatment of gastroesophageal reflux disease

Guidelines for surgical treatment of gastroesophageal reflux disease

Qualidade de vida do paciente submetido à cirurgia videolaparoscópica para tratamento para doença do refluxo gastroesofágico

Surgical Treatment for Laryngopharyngeal Reflux Disease

Contact Info

Product

Resources

About