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Published in:

01-04-2004 | Original article

Clinical outcome of Laparoscopic antireflux surgery for patients with irritable bowel syndrome

Authors: Y. Raftopoulos, P. Papasavas, R. Landreneau, Fernando Hayetian, Tibetha Santucci, Daniel Gagné, Philip Caushaj, Robert Keenan

Published in: Surgical Endoscopy | Issue 4/2004

Abstract

Background

The prevalence of irritable bowel syndrome (IBS) is higher among subjects with gastroesophageal reflux disease (GERD). This study aimed to assess the effect of IBS on the postoperative outcome of antireflux surgery.

Methods

For this study, 102 patients who underwent laparoscopic fundoplication were screened preoperatively for IBS with the Rome II criteria. There were 32 patients in the IBS group and 70 patients in the non-IBS group. Most of the patients (97%) (31 of 32 IBS and 68 of 70 non-IBS patients) had both pre- and postoperative IBS evaluation. A visual analog GERD-specific scoring scale was used to evaluate GERD symptoms prospectively.

Results

In both groups, GERD symptom scores were statistically improved postoperatively. Of the 31 IBS patients 25 (80.6%) showed a reduction in their symptoms below the Rome II criteria for IBS diagnosis postoperatively.

Conclusion

Irritable bowel syndrome does not have a negative effect on the outcome of laparoscopic antireflux surgery. Surgical correction of GERD may improve the severity of irritable bowel symptoms.

Akehurst, RL, Brazier, JE, Mathers, N, O’Keefe, C, Kaltenthaler, E, Morgan, A, Platts, M, Walters, SJ 2002Health-related quality of life and cost impact of irritable bowel syndrome in a UK primary care setting.Pharmacoeconomics20455462PubMed

Axelrod, DA, Divi, V, Ajluni, MM, Eckhauser, FE, Colletti, LM 2002Influence of functional bowel disease on outcome of surgical antireflux procedures.J Gastrointest Surg6632637CrossRefPubMed

Bammer, T, Hinder, RA, Klaus, A, Klingler, PJ 2001Five- to eight-year outcome of the first laparoscopic Nissen fundoplications.J Gastrointest Surg54248CrossRefPubMed

Beldi, G, Glattli, A 2002Long-term gastrointestinal symptoms after laparoscopic nissen fundoplication.Surg Laparosc Endosc Percutan Tech12316319CrossRefPubMed

Costantini, M, Sturniolo, GC, Zaninotto, G, D’Inca, R, Polo, R, Naccarato, R, Ancona, E 1993Altered esophageal pain threshold in irritable bowel syndrome.Dig Dis Sci38206212PubMed

DeVault, KR, Castell, DO 1999Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease.Am J Gastrenterol9414341442CrossRef

Drossman, DA 1994The functional gastrointestinal disorders: diagnosis, pathophysiology, and treatment: a multinational consensus.Little BrownBoston

Gralnek, IM, Hays, RD, Kilbourne, A, Naliboff, B, Mayer, EA 2000The impact of irritable bowel syndrome on health-related quality of life.Gastroenterology119654660PubMed

Heudebert, GR, Marks, R, Wilcox, CM, Centor, RM 1997Choice of long-term strategy for the management of patients with severe esophagitis: a cost-utility analysis.Gastroenterology11210781086PubMed

10.

Holtmann, G, Goebell, H, Talley, NJ 1997Functional dyspepsia and irritable bowel syndrome: is there a common pathophysiological basis?Am J Gastroenterol92954959PubMed

11.

Kennedy, TM, Jones, RH, Hungin, APS, O’Flanagan, H, Kelly, P 1998Irritable bowel syndrome, gastro-esophageal reflux, and bronchial hyperresponsiveness in the general population.Gut43770774PubMed

12.

Lembo, T, Munakata, J, Mertz, H, Niazi, N, Kodner, A, Nikas, V, Mayer, EA 1994Evidence for the hypersensitivity of lumbar splachnic afferents in irritable bowel syndrome.Gastroenterology10716861696

13.

Lembo, TJ, Fink, RN 2002Clinical assessment of irritable bowel syndrome.J Clin Gastroenterol35S31S36PubMed

14.

Pimentel, M, Rossi, F, Chow, EJ, Ofman, J, Fullerton, S, Hassard, P, Lin, HC 2002Increased prevalence of irritable bowel syndrome in patients with gastroesophageal reflux.Clin Gastroenterol34221224CrossRef

15.

Smart, HL, Nicholson, DA, Atkinson, M 1986Gastroesophageal reflux in the irritable bowel syndrome.Gut2711271131PubMed

16.

Surgeons, . 1998Guidelines for surgical treatment of gastroesophageal reflux disease (GERD)Surg Endosc12186188CrossRef

17.

Thompson, WG, Longstreth, GF, Drossman, DA, Heaton, KW, Irvine, EJ, Muller-Lissner, SA 1999Functional bowel disorders and functional abdominal pain.Gut45II43II47PubMed

18.

Vakil, N, Shaw, M, Kirby, R 2003Clinical effectiveness of laparoscopic fundoplication in a U.S. community.Am J Med114l5CrossRef

Title: Clinical outcome of Laparoscopic antireflux surgery for patients with irritable bowel syndrome
Authors: Y. Raftopoulos
P. Papasavas
R. Landreneau
Fernando Hayetian
Tibetha Santucci
Daniel Gagné
Philip Caushaj
Robert Keenan
Publication date: 01-04-2004
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 4/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-003-8162-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical outcome of Laparoscopic antireflux surgery for patients with irritable bowel syndrome

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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