Safety and long-term outcome of laparoscopic antireflux surgery in patients in their eighties and older

Bammer, T.; Hinder, Ronald A.; Alexander, Klaus; Libbey, Jeffrey S.; Napoliello, David A.; J, Rodriquez

doi:10.1007/s00464-001-8133-7

Cited by 27 publications

(17 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Five more patients underwent reoperation at a later stage during follow-up for recurrent symptoms. The overall reoperation rate of 7% is similar to the rate reported in other studies where rates between 1% and 10% have been described following laparoscopic antireflux surgery [4,5,10,13,26]. In addition, there were no differences in clinical outcome between the patients in our study group who underwent different types of antireflux procedures (90°anterior, 180°a nterior, and Nissen fundoplication).…”

Section: Discussionsupporting

confidence: 89%

“…In such studies complication rates varying from 3.2% to 26.0% were described in patients who underwent surgery for reflux, and from 4.3% to 29.8% in patients who underwent surgery for a large hiatus hernia [4,5,10,25]. If this surgery is to be undertaken in elderly patients with reflux, it is important that the morbidity and mortality risk be very low; this was the situation for patients over 70 years old who underwent surgery for reflux in our study.…”

Section: Discussionmentioning

confidence: 98%

“…However, some patients experience refractory symptoms and require surgical intervention. Some studies have already shown that the benefits of a shorter hospital stay and reduced postoperative morbidity associated with laparoscopic techniques for antireflux surgery also apply to elderly patients [1,5,[10][11][12][13][14][15]. Hence, it can be argued that age should not be a contraindication to laparoscopic antireflux surgery.…”

mentioning

confidence: 97%

See 2 more Smart Citations

Laparoscopic antireflux surgery in the elderly

et al. 2007

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 98%

mentioning

confidence: 97%

See 1 more Smart Citation

Laparoscopic antireflux surgery in the elderly

et al. 2007

View full text Add to dashboard Cite

show abstract

“…Kalmoz [28] showed that age should not be considered a contraindication to laparoscopic surgical treatment of GERD as 97% of elderly patients would choose surgical treatment again if necessary. Bammer [29] reported that laparoscopic surgery is a good option for the treatment of severe GERD in octo-and nonagenarians, with an excellent follow-up in 93% of elderly patients. Except for preoperative disease severity, we did not find any significant difference in perioperative and postoperative results as well as in subjective and objective outcome between the two groups.…”

Section: Discussionmentioning

confidence: 99%

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

Pizza

Rossetti²,

Limongelli³

et al. 2007

WJG

View full text Add to dashboard Cite

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.

show abstract

“…Currently, with faster procedures, a better understanding of the effects of pneumoperitoneum and increased surgical experience, laparoscopic procedures are being used in patients with greater comorbidity. Moreover, greater age has not been shown to be a predictor of a higher complication rate or a worse postoperative course in laparoscopic general surgical procedures [12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic radical nephrectomy in the elderly

et al. 2004

View full text Add to dashboard Cite

Authors from Innsbruck present their work in laparoscopic radical nephrectomy in elderly patients. They evaluated the outcome of this technique in patients over 75 years old and compared the results with a similar number of patients aged less than 75 years who had the same procedure. Despite more comorbid conditions in the older group the final outcome was equally as good as in the younger patients.Hormone‐refractory prostate cancer is becoming a matter of great concern, and authors from Paris describe their experience with a combination of docetaxel and zoledronic acid in this condition. In this early report, they found the use of these agents to be promising, and recommend the setting up of a prospective randomized trial.OBJECTIVETo evaluate the efficacy and outcome of laparoscopic radical nephrectomy (LRN) in patients aged >75 years, and to compare the results with those obtained from patients younger than this undergoing laparoscopic surgery for the same indication.PATIENTS AND METHODSFrom a retrospective review of 33 patients aged >75 years undergoing LRN, 28 were for tumour. A group of 28 consecutive patients aged <75 years undergoing laparoscopy for the same indication were used for comparison. The two groups were compared for American Society of Anesthesiology (ASA) physical status score, comorbidity, previous surgical history, operative duration, estimated blood loss, tumour size, complications during and after surgery, conversion rates, time to oral intake and drain removal, perioperative mortality and hospital stay.RESULTSOnly the initial ASA score was significantly higher for the older patients. All other variables before, during and after surgery were similar for both groups.CONCLUSIONSThe final outcome of laparoscopic surgery in elderly patients was as promising as in their younger counterparts. Therefore, elderly patients should not be excluded from LRN, even though they usually present with more comorbidities.

show abstract

Safety and long-term outcome of laparoscopic antireflux surgery in patients in their eighties and older

Abstract: Laparoscopic surgery is a good option for the treatment of severe gastroesophageal reflux disease in octo- and nonagenarians.

Cited by 27 publications

References 19 publications

Laparoscopic antireflux surgery in the elderly

Laparoscopic antireflux surgery in the elderly

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

Laparoscopic radical nephrectomy in the elderly

Contact Info

Product

Resources

About