| Long-term symptomatic outcome and radiologic assessment of laparoscopic hiatal hernia repair. | |
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MedLine Citation:
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PMID: 19892314 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The long-term durability of laparoscopic repair of paraesophageal hiatal herniation is uncertain. This study focuses on the long-term symptomatic and radiologic outcome of laparoscopic paraesophageal herniation repair. METHODS: Between 2000 and 2007, 70 patients (49 females, mean age +/- standard deviation 60.6 +/- 10.9 years) undergoing laparoscopic repair of paraesophageal herniation were studied prospectively. After a mean follow-up of 45.6 +/- 23.8 months, symptomatic (65 patients, 93%) and radiologic follow-up (60 patients, 86%) was performed by standardized questionnaires and esophagograms. RESULTS: The symptomatic outcome was successful in 58 patients (89%), and gastroesophageal anatomy was intact in 42 patients (70%). The addition of a fundoplication was the only significant predictor of an unfavorable radiologic outcome in the univariate analysis (odds ratio .413; 95% confidence interval, .130 to 1.308; P = .125). CONCLUSIONS: The long-term symptomatic outcome of laparoscopic repair of paraesophageal hiatal herniation was favorable in 89% of patients, and 70% had successful anatomic repair. The addition of a fundoplication did not prevent anatomic herniation. |
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Authors:
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Edgar J B Furn?e; Werner A Draaisma; Rogier K Simmermacher; Gerard Stapper; Ivo A M J Broeders |
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Publication Detail:
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Type: Journal Article Date: 2009-11-05 |
Journal Detail:
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Title: American journal of surgery Volume: 199 ISSN: 1879-1883 ISO Abbreviation: Am. J. Surg. Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-14 Completed Date: 2010-06-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 695-701 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Surgery, University Medical Center, Utrecht, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cohort Studies Female Follow-Up Studies Fundoplication / methods* Hernia, Hiatal / radiography*, surgery* Humans Laparoscopy / methods* Logistic Models Male Middle Aged Pain Measurement Pain, Postoperative / physiopathology Patient Satisfaction Probability Prospective Studies Quality of Life Risk Assessment Severity of Illness Index Surgical Procedures, Minimally Invasive / methods Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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