Laparoscopic antireflux surgery (ARS) is an effective treatment for patients with well-documented gastroesophageal reflux disease (GERD). In this retrospective cohort study, investigators used national databases from 5 Nordic countries to determine the 90-day mortality, readmission rates, and length of hospitalization after primary laparoscopic fundoplication (PLF) and secondary ARS (laparoscopic or open surgery after PLF). <\/p>\n\n\n\n
During the years 2000 to 2018, 26,193 patients underwent PLF (median age, 50 years; 47% male; 85% had Charlson Comorbidity Index [CCI] 0) and 1618 patients underwent secondary ARS (median age, 53 years; 43% male; 79% had CCI 0). The rates of absolute all-cause 90-day mortality and reoperation, as well as the median length of hospital stay (LOS) for PLF were 0.13%, 3%, and 3 days, respectively. The rates were similar with secondary ARS at 0.19%, 6.2%, and 4 days, respectively. <\/p>\n\n\n\n
The 90-day mortality after PLF was significantly higher in older patients (aged 56-80 years vs 18-42 years: odds ratio [OR], 2.66; 95% confidence interval [CI], 1.03-6.85) and those with more comorbidity (CCI \u22652 vs 0: OR, 6.25; 95% CI, 2.42-16.14), whereas higher hospital surgical volume suggested a lower risk (highest vs lowest tertile: OR, 0.58; 95% CI, 0.22-1.57). Patient comorbidity was the only factor associated with an increased risk of reoperation after PLF (CCI \u22652 vs 0: OR, 1.47; 95% CI, 0.97-2.23 and CCI 1 vs 0; OR, 1.29; 95% CI, 1.05-1.58). Prolonged hospital stay (>1 day longer than median LOS) was seen in 20% and 29% of patients after PLF and secondary ARS, respectively. Older age (OR, 1.48; 95% CI, 1.37-1.61) and female gender (OR, 1.09; 95% CI, 1.02-1.16) were associated with a higher risk of prolonged LOS, and hospital volume was associated with a lower risk of prolonged LOS (OR, 0.74; 95% CI, 0.67-0.80).<\/p>\n","protected":false},"excerpt":{"rendered":"
Laparoscopic antireflux surgery (ARS) is an effective treatment for patients with well-documented gastroesophageal reflux disease (GERD). In this retrospective cohort study, investigators used national databases from 5 Nordic countries to determine the 90-day mortality, readmission rates, and length of hospitalization after primary laparoscopic fundoplication (PLF) and secondary ARS (laparoscopic or open surgery after PLF). During … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1791],"tags":[2711,2712,2098,2572,2070],"class_list":["post-10267","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-esophagus","tag-antireflux-surgery","tag-ars","tag-esophagus-2","tag-gastroesophageal-reflux-disease","tag-gerd-2"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/10267","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=10267"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=10267"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=10267"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}