ArticleWorld journal of gastroenterology2007
Influence of age on outcome of total laparoscopic fundoplication for gastroesophageal reflux disease.
Article in World journal of gastroenterology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Guidelines for surgical treatment of gastroesophageal reflux disease.Surgical endoscopy · 2010Guideline
- Article
- Frailty predicts recurrence after laparoscopic Nissen fundoplication with mesh cruroplasty for giant sliding hiatal hernia with severe reflux esophagitis in elderly patients: a multicenter retrospective study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Safety and efficacy of robotic anti-reflux surgery in geriatric patients: a comparative analysis.Surgical endoscopy · 2024Article
- Impact of Age on Long-Term Outcomes of Laparoscopic Nissen Fundoplication-A Single Center Study.Medicina (Kaunas, Lithuania) · 2024Article
- De Novo Gastroesophageal Reflux Disease Symptoms Are Infrequent after Sleeve Gastrectomy at 2-Year Follow-Up Using a Comprehensive Preoperative Esophageal Assessment.Journal of clinical medicine · 2024Article
- Efficacy of laparoscopic fundoplication in patients with chronic cough and gastro-oesophageal reflux.Esophagus : official journal of the Japan Esophageal Society · 2023Article
- Review of SAGES GERD guidelines and recommendations.Surgical endoscopy · 2022Article
- Short-term outcome after robot-assisted hiatal hernia and anti-reflux surgery-is there a benefit for the patient?Langenbeck's archives of surgery · 2021Article
- Sleeve Gastrectomy and Anterior Fundoplication (D-SLEEVE) Prevents Gastroesophageal Reflux in Symptomatic GERD.Obesity surgery · 2020Article
- Gastric perforation by intragastric balloon: Laparoscopic gastric wedge resection can be a strategy?International journal of surgery case reports · 2020Article
- Pre-operative clinical and instrumental factors as antireflux surgery outcome predictors.World journal of gastrointestinal surgery · 2016Review
- Evaluation of conventional laparoscopic versus robot-assisted laparoscopic redo hiatal hernia and antireflux surgery: a cohort study.Journal of robotic surgery · 2016Article
- Is the advanced age a contraindication to GERD laparoscopic surgery? Results of a long term follow-up.BMC surgery · 2013Observational
- Article
- Impact of gender and age on the long-term outcome of laparoscopic fundoplication.World journal of surgery · 2009Article
- Invasive Treatment Options for Gastro-Esophageal Reflux Disease.Journal of medicine and lifeReview
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo 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 < or = 65 years.
methodsFour hundred and twenty consecutive patients underwent total laparoscopic fundoplication 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). The following elements were considered: presence, duration, and severity of GERD symptoms; presence of a hiatal hernia; manometric evaluation, 24 h pH-monitoring data, duration of operation; incidence of complications; and length of hospital stay.
resultsElderly 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.
conclusionLaparoscopic 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.
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