ArticleWorld journal of surgery2009
Impact of gender and age on the long-term outcome of laparoscopic fundoplication.
Article in World journal of surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Fundoplication significantly improves objective and subjective reflux outcomes-a meta-analysis.Surgical endoscopy · 2025Pooled it
- Gender differences in both the pathology and surgical outcome of patients with esophageal achalasia.Surgical endoscopy · 2016Trial
- Does Patient Sex Influence the Symptom Pattern for Patients With Gastro-Oesophageal Reflux Disease and the Response of Symptoms to Fundoplication?ANZ journal of surgery · 2025Article
- Impact of Age on Long-Term Outcomes of Laparoscopic Nissen Fundoplication-A Single Center Study.Medicina (Kaunas, Lithuania) · 2024Article
- Therapeutic effect of laparoscopic fundoplication for GERD-related disease in the elderly.General thoracic and cardiovascular surgery · 2022Article
- Age-related outcomes in laparoscopic hiatal hernia repair: Is there a "too old" for antireflux surgery?Surgical endoscopy · 2021Article
- Flatulence After Anti-reflux Treatment (FAART) Study.World journal of surgery · 2019Article
- A Novel, Dynamic Statistical Model for Predicting Patient Satisfaction with Fundoplication Based on Pre-Operative Symptom Patterns.World journal of surgery · 2017Article
- Pre-operative clinical and instrumental factors as antireflux surgery outcome predictors.World journal of gastrointestinal surgery · 2016Review
- Predicting patient dissatisfaction following laparoscopic Nissen fundoplication: an analysis of symptoms.Surgical endoscopy · 2013Article
- Hiatal hernia, Barrett's esophagus, and long-term symptom control after laparoscopic fundoplication for gastroesophageal reflux.Surgical endoscopy · 2012Article
- Outcome following management of dysphagia after laparoscopic anti-reflux surgery.World journal of surgery · 2012Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt has been suggested that gender and age could be factors that influence the likelihood of success following antireflux surgery, and our anecdotal impression has been that the outcome following Nissen fundoplication in older women is often disappointing. If correct, characterization of the extent of any differences in outcome might help patient selection and, hence, surgical outcomes. Therefore, in this study we investigated the impact of gender and age on longer-term clinical outcomes following laparoscopic fundoplication.
methodsPerioperative and follow-up data from patients undergoing laparoscopic fundoplication in our departments have been collected prospectively and stored in a database. From the database, patients who had undergone either an anterior 180 degrees partial or 360 degrees total laparoscopic fundoplication for gastroesophageal reflux and completed 5 years clinical follow-up were identified. Patients were classified according to gender and age, and outcome data were analyzed to determine differences. Analog scales of 0-10 were used to determine symptoms of heartburn and dysphagia and overall satisfaction.
resultsSeven hundred three patients were studied (58% males). Females were less satisfied with the outcome (score = 7.8 +/- 2.8 vs. 8.4 +/- 2.5, P = 0.0036), and had higher scores for heartburn (2.0 +/- 2.7 vs. 1.2 +/- 2.2; P = 0.0001) and dysphagia for solid food (2.7 +/- 2.9 vs. 2.0 +/- 2.5, P = 0.0049) compared to males. Revisional procedures were undertaken more frequently in females (15.5% vs. 8.4%, P = 0.0038). Age had no impact on any clinical outcome.
conclusionsWhile the outcome for laparoscopic fundoplication is not influenced by age, the outcome for women is poorer than in males.
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