Evidence map›Paper›PMID 42563044›Full record

ArticleSurgical endoscopy2026

Perioperative morbidity and midterm outcomes following antireflux surgery in overweight and obese populations.

Andrés R Latorre-Rodríguez, Arianna Vittori, Hideyuki Takeuchi, Sumeet K Mittal

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Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Andrés R Latorre-RodríguezNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Road, Phoenix, AZ, 85013, USA.ORCID http://orcid.org/0000-0003-3401-8623
Arianna VittoriNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Road, Phoenix, AZ, 85013, USA.ORCID http://orcid.org/0000-0001-8681-968X
Hideyuki TakeuchiNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Road, Phoenix, AZ, 85013, USA.
Sumeet K MittalNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Road, Phoenix, AZ, 85013, USA. sumeet.mittal@commonspirit.org.ORCID http://orcid.org/0000-0003-2760-3891

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the worldwide prevalence of obesity increases, more patients with obesity are referred for antireflux surgery (ARS). Although bariatric surgery is typically recommended, at times straightforward ARS is offered. We aimed to compare surgical and patient-reported outcomes among overweight and obese patients undergoing minimally invasive ARS.

methodsThis retrospective cohort study included consecutive patients with BMI ≥ 25 kg/m

resultsA total of 338 patients (71.6% female; median age: 65.1 [54.6-73.1] years) were stratified into the BMI groups: overweight (n = 172, 50.9%), class I (n = 125, 36.9%), class II (n = 30, 8.9%), and class III (n = 11, 3.3%). Intraoperative complication rates (3.5, 4.8, 3.3, and 27.3%; p = 0.006) and ICU admission rates (1.7, 4, 3.3, and 18.2%; p < 0.026) were significantly higher, and early postoperative complications were slightly higher (7.6, 8.8, 6.7, and 27.3%; p = 0.153) in the class III obesity group. Follow-up ≥ 12 months was available for 95/172 (55.2%), 64/125 (51.2%), 15/30 (50%), and 3/11 (27.3%) patients per group with similar median durations (24-36 months). Objective hiatal hernia recurrence (> 2 cm) was observed in 1 overweight and 2 class-I patients, but no class-II/III patients. Improved quality-of-life (GERD-HRQL) scores and high patient satisfaction, especially in the 25-40 kg/m

conclusionMinimally invasive ARS provides a favorable safety profile along with gastroesophageal reflux control and improved quality of life for overweight and non-morbidly obese patients. Particularly, straightforward ARS for patients with class II obesity may be considered when limitations on bariatric surgery exist.

Indexed as

Antireflux surgeryGastroesophageal reflux diseaseObesityOverweightPatient-reported outcomes

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.