Long-term therapic effect of laparoscopic Nissen fundoplication for elderly patients with severe gastroesophageal reflux disease

doi:10.3877/cma.j.issn.1674-6899.2018.01.014

Abstract

Abstract:

Objective

To assess the therapic effect of laparoscopic Nissen fundoplication for elderly patients with severe gastroesophageal reflux disease(GERD) comparing to non-elderly patients.

Methods

Between Jan. 2005 and Jan. 2011, 65 patients admitted our centre for severe GERD and underwent laparoscopic Nissen fundoplication. 21 cases of 65 patients were older than 70 years which were divided into elderly group and the other 44 non-elderly cases were control group. The clinical data about therapies and recovery of two groups was recorded and analyzed retrospectively.

Results

All patients underwent laparoscopic Nissen fundoplication successfully. The clinical symptoms of two groups were relieved postoperatively. The short-term complication rate and mean operative time were no significant difference. The mean follow-up period was 7.4 years. The recurrence rate of two groups was no significant difference, but the postoperative dysphagia rate in elderly group was more than control group.

Conclusions

Laparoscopic Nissen fundoplication is safe and effective for elderly patients with server GERD, but the incidence of long-term dysphasia was higher.

Key words: Laparoscopic Nissen fundoplication, Elderly, Gastroesophageal reflux disease, Long-term outcoming

Mingwei Zheng, Xiangyu Sun, Yu Wu, Zhen Chen, Hongzhi Zhao, Qili Dai, Lin Lang. Long-term therapic effect of laparoscopic Nissen fundoplication for elderly patients with severe gastroesophageal reflux disease[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2018, 11(01): 51-54.

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References 18

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组别	例数	手术时间(min， ±s)	术后短期并发症[例(%)]	术后满意度评分(分， ±s)
老年组	21	102.1 ± 28.7	1(4.8)	8.2 ± 2.5
对照组	44	96.0 ± 18.8	3(6.8)	8.4 ± 2.3
P值	?	> 0.05	> 0.05	> 0.05

组别	例数	手术时间(min， ±s)	术后短期并发症[例(%)]	术后满意度评分(分， ±s)
老年组	21	102.1 ± 28.7	1(4.8)	8.2 ± 2.5
对照组	44	96.0 ± 18.8	3(6.8)	8.4 ± 2.3
P值	?	> 0.05	> 0.05	> 0.05

组别	例数	症状复发	吞咽困难
老年组	21	1(4.8)	5(23.8)
对照组	44	3(6.8)	2(4.5)
P值	?	> 0.05	<0.05

组别	例数	症状复发	吞咽困难
老年组	21	1(4.8)	5(23.8)
对照组	44	3(6.8)	2(4.5)
P值	?	> 0.05	<0.05

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