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Open Access 01-10-2013 | Research article

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

Authors: Landino Fei, Gianluca Rossetti, Francesco Moccia, Teresa Marra, Paolo Guadagno, Ludovico Docimo, Marco Cimmino, Vincenzo Napolitano, Giovanni Docimo, Domenico Napoletano, Ludovica Guerriero, Beniamino Pascotto

Published in: BMC Surgery | Special Issue 2/2013

Abstract

Background

In this prospective non randomized observational cohort study we haveevaluated the influence of age on outcome of laparoscopic totalfundoplication for GERD.

Methods

Six 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.

Results

Elderly 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).

Conclusions

Laparoscopic 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.

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Title: Is the advanced age a contraindication to GERD laparoscopic surgery? Results of a long term follow-up
Authors: Landino Fei
Gianluca Rossetti
Francesco Moccia
Teresa Marra
Paolo Guadagno
Ludovico Docimo
Marco Cimmino
Vincenzo Napolitano
Giovanni Docimo
Domenico Napoletano
Ludovica Guerriero
Beniamino Pascotto
Publication date: 01-10-2013
Publisher: BioMed Central
Published in: BMC Surgery / Issue Special Issue 2/2013
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/1471-2482-13-S2-S13

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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