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Long-term outcome of laparoscopic antireflux surgery in the elderly

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Journal of Gastrointestinal Surgery Aims and scope

Abstract

The aim of this retrospective study was to compare results and five-year surgical outcome of laparoscopic antireflux surgery (LARS) in patients younger than 65 years and elderly patients aged 65 years or older. From January 1992 to December 1998, 2684 patients underwent LARS in 31 surgical units; 369 elderly patients (group 1) were compared with 2315 younger patients (group 2). Elderly patients have a higher American Society of Anesthesiologists score (mean, 2.38 versus 1.98). The conversion rate was higher in group 1 (10.2%, n = 38 versus 6.1%, n = 142), as was the morbidity rate (7.6% in group 1 versus 4.5% in group 2). Mean hospital stay was longer for group 1 (7.6 ± 5.6 days versus 5.9 ± 2.8 days). Functional evaluation was excellent in both groups (91-93%) at 3 months and 2 and 5 years. LARS in the elderly is a safe and efficient procedure. Good results appear to be sustainable in the long term.

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Authors and Affiliations

  1. Department of Digestive Surgery, University Hospital, Angers, France

    Olivier Brehant M.D., Patrick Pessaux M.D. & Jean-Pierre Arnaud M.D.

  2. Department of Digestive Surgery, Uni-versity Hospital Robert-Debr_e, Reims, France

    Jean-François Delattre M.D.

  3. Department of Digestive Surgery, University Hospital Hautepierre, Strasbourg, France

    Christian Meyer M.D.

  4. Department of Digestive Surgery, University Hospital Edouard Herriot, Lyon, France

    Jacques Baulieux M.D.

  5. Department of Digestive Surgery, University Hospital des Diaconesses, Paris, France

    Henri Mosnier M.D.

Authors
  1. Olivier Brehant M.D.
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  2. Patrick Pessaux M.D.
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  3. Jean-Pierre Arnaud M.D.
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  4. Jean-François Delattre M.D.
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  5. Christian Meyer M.D.
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  6. Jacques Baulieux M.D.
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  7. Henri Mosnier M.D.
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ociation Française de Chirurgie

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Correspondence to Jean-Pierre Arnaud M.D..

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The study participants are listed at the end of the article.

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Brehant, O., Pessaux, P., Arnaud, JP. et al. Long-term outcome of laparoscopic antireflux surgery in the elderly. J Gastrointest Surg 10, 439–444 (2006). https://doi.org/10.1016/j.gassur.2005.06.017

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  • DOI: https://doi.org/10.1016/j.gassur.2005.06.017

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