Details

Autor(en) / Beteiligte

• Hoshino, Masato
• Omura, Nobuo
• Yano, Fumiaki
• Tsuboi, Kazuto
• Yamamoto, Se Ryung
• Akimoto, Shunsuke
• Masuda, Takahiro
• Sakashita, Yuki
• Fukushima, Naoko
• Kashiwagi, Hideyuki

Titel

Therapeutic effect of laparoscopic fundoplication for GERD-related disease in the elderly

Ist Teil von

• General thoracic and cardiovascular surgery, 2022, Vol.70 (1), p.72-78

Ort / Verlag

Singapore: Springer Singapore

Erscheinungsjahr

2022

Quelle

MEDLINE

Beschreibungen/Notizen

• Background It is anticipated that surgical treatment for gastro-esophageal reflux disease (GERD) in the elderly will increase. This time, using propensity score matching, we examined the results of laparoscopic fundoplication (LF) for GERD-related diseases in the elderly. Methods Of 302 cases which underwent initial LF for GERD-related diseases during the period from June 2008 to February 2019, we classified them into elderly (65 years of age or older) and non-elderly groups (64 years of age or younger). 57 cases each were extracted upon performing propensity score matching regarding five factors including: gender; body mass index; esophageal hiatal hernia; extent of reflux esophagitis; and the use of mesh. Results With regard to the preoperative disease status, the pH < 4 holding time was indicated as 2.8% (0.5–10.7%) in the elderly group and 3.4% (0.6–8.0%) in the non-elderly group, with no difference in terms of the illness period as well ( p =  0.889 and p =  0.263, respectively). Although there was no difference in terms of the operative time (155 vs. 139 min, p =  0.092) and estimated blood loss (both ≒ 0 ml, p =  0.298), postoperative hospital stay was prolonged in the elderly group [7 (7–9) vs. 7 (7–7), p =  0.007]. On the other hand, esophageal hiatal hernia, reflux esophagitis, and acid reflux time in the esophagus were all improved following surgery in both groups ( p  < 0.001 in both groups). Conclusion The treatment results of LF for GERD-related diseases in the elderly were as good as those in the non-elderly, indicating possible safe implementation.