Predictors of outcome in 100 consecutive laparoscopic antireflux procedures

Background: Published success rates for surgical intervention in gastroesophageal reflux disease exceed 90%. The goal of this study was to determine if any preoperative factors could accurately predict postoperative symptom relief. Methods: One hundred consecutive patients undergoing laparoscopic an...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of surgery 2001-03, Vol.181 (3), p.231-235
Main Authors: Jackson, Patrick G, Gleiber, Michael A, Askari, Reza, Evans, Stephen R.T
Format: Article
Language:English
Subjects:
Acid suppression
Acids
Adult
Age
Aged
Biological and medical sciences
Biopsy
Disease
Disease control
Endoscopy
Esophagus
Female
Gastroenterology
Gastroesophageal reflux
Gastroesophageal Reflux - surgery
Gastroesophageal reflux disease
Hiatal hernias
Humans
Hydrogen-Ion Concentration
Laparoscopic antireflux surgery
Laparoscopy
Logistic Models
Male
Manometry
Medical sciences
Middle Aged
Patients
Predictive Value of Tests
Predictors
Quality of Life
Questionnaires
Regression analysis
Signs and symptoms
Success
Surgeons
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Surveys and Questionnaires
Treatment Outcome
Typical symptoms
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: Published success rates for surgical intervention in gastroesophageal reflux disease exceed 90%. The goal of this study was to determine if any preoperative factors could accurately predict postoperative symptom relief. Methods: One hundred consecutive patients undergoing laparoscopic antireflux surgery completed a detailed preoperative questionnaire, and underwent endoscopy, manometry, and 24-hour esophageal pH monitoring. Two surgeons performed all procedures in a standardized fashion. At least 2 months following operative intervention, a single interviewer, blinded to all preoperative information and procedure performed, recorded Visick and Gastroesophageal Reflux Disease–Health-Related Quality of Life scores for all patients. All follow-up was performed within 3 years of antireflux procedure. Results: The surgical success rate, as defined by Visick scores of 1-2, was 91%. Three variables were predictive of postoperative success: age
ISSN:0002-9610
1879-1883
DOI:10.1016/S0002-9610(01)00553-0