Observational studyBMC surgery2013
Is the advanced age a contraindication to GERD laparoscopic surgery? Results of a long term follow-up.
Observational study in BMC surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 29 citations in OpenAlex.
- Article
- Safety and efficacy of robotic anti-reflux surgery in geriatric patients: a comparative analysis.Surgical endoscopy · 2024Article
- Chinese expert consensus on diagnosis and management of gastroesophageal reflux disease in the elderly (2023).Aging medicine (Milton (N.S.W)) · 2024Article
- Current Status of Anti-Reflux Surgery as a Treatment for GERD.Medicina (Kaunas, Lithuania) · 2024Review
- Dyspnoea improves following composite repair of giant paraoesophageal hernia.Annals of the Royal College of Surgeons of England · 2023Article
- Therapeutic effect of laparoscopic fundoplication for GERD-related disease in the elderly.General thoracic and cardiovascular surgery · 2022Article
- The characteristics of antireflux surgery compared to proton pump inhibitor treatment in Korea: a nationwide study using claim data from 2007 to 2016.Annals of surgical treatment and research · 2020Article
- Management of Gastroesophageal Reflux Disease in the Elderly Patient.Drugs & aging · 2019Review
- Gastrointestinal Tract Disorders in Older Age.Canadian journal of gastroenterology & hepatology · 2019Review
- Association Between Laparoscopic Antireflux Surgery and Recurrence of Gastroesophageal Reflux.JAMA · 2017Article
- Short- and long-term results after laparoscopic floppy Nissen fundoplication in elderly versus non-elderly patients.Journal of minimal access surgeryArticle
- Thyroid surgery in the elderly: a comparative experience of 400 patients from an Italian university hospital.International surgeryArticle
Corrections and comments
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn this prospective non randomized observational cohort study we have evaluated the influence of age on outcome of laparoscopic total fundoplication for GERD.
methodsSix hundred and twenty consecutive patients underwent total laparoscopic fundoplication for GERD. Five hundred and twenty-four patients were younger than 65 years (YG), and 96 patients were 65 years or older (EG). The following parameters were considered in the preoperative and postoperative evaluation: presence, duration, and severity of GERD symptoms, presence of a hiatal hernia, manometric and 24 hour 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. 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 93.0% of young patients and in 88.9% of elderly patients (p = NS).
conclusionsLaparoscopic 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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