The team assessed the safety and long-term outcome of laparoscopic antireflux surgery in patients in their eighties and older.
The findings of the study were published in the January 2002 issue of Surgical Endoscopy.
A retrospective study of 30 octo- and nonogenerians after laparoscopic fundoplication was performed, with a mean follow-up of 3.1 years.
Preoperative symptoms, esophageal testing, postoperative symptoms, and satisfaction rate were all analyzed.
The investigators found that 57% of the patients had paraesophageal hernias.
|96% of patients were satisfied after antireflux surgery.
| Surgical Endoscopy |
The mean duration of procedures was 146 minutes. Mean blood loss and hospitalization were 76 ml and 2.2 days, respectively.
There was 1 conversion to laparotomy, 2 intraoperative complications, and no deaths.
Follow-up data were available in 93% of patients. It was found that 2 died of unrelated causes.
At follow-up, 96% stated that their surgical outcome was satisfactory. Two patients were suffering from severe symptoms.
Overall well-being at follow-up was 7.5 on a 10-point scale, in comparison to 2.2 before surgery.
Dr T. Bammer, of the Mayo Clinic Jacksonville, concluded on behalf of fellow authors, "Laparoscopic surgery is a good option for the treatment of severe gastroesophageal reflux disease in octo- and nonagenarians."