Perioperative risk of laparoscopic fundoplication: safer than previously reported-analysis of the American College of Surgeons National Surgical Quality Improvement Program 2005 to 2009

Journal of the American College of Surgeons
Stefan NiebischJeffrey H Peters

Abstract

Several prospective randomized controlled trials show equal effectiveness of surgical fundoplication and proton pump inhibitor therapy for the treatment of gastroesophageal reflux disease. Despite this compelling evidence of its efficacy, surgical antireflux therapy is underused, occurring in a very small proportion of patients with gastroesophageal reflux disease. An important reason for this is the perceived morbidity and mortality associated with surgical intervention. Published data report perioperative morbidity between 3% and 21% and mortality of 0.2% and 0.5%, and current data are uncommon, largely from previous decades, and almost exclusively single institutional. The study population included all patients in the American College of Surgeons National Surgical Quality Improvement Program database from 2005 through 2009 who underwent laparoscopic fundoplication with or without related postoperative ICD-9 codes. Comorbidities, intraoperative occurrences, and 30-day postoperative outcomes were collected and logged into statistical software for appropriate analysis. Postoperative occurrences were divided into overall and serious morbidity. A total of 7,531 fundoplications were identified. Thirty-five percent of patients were...Continue Reading

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Citations

Mar 8, 2012·Current Gastroenterology Reports·Stefan Niebisch, Jeffrey H Peters
Mar 13, 2013·Lancet·Albert J BredenoordAndré J P M Smout
Jun 14, 2013·Case Reports in Medicine·Konstantinos SpaniolasThadeus L Trus
Mar 28, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H Feussner, D Wilhelm
Apr 5, 2014·Journal of the American College of Surgeons·Konstantinos SpaniolasThadeus L Trus
Nov 20, 2013·Journal of the American College of Surgeons·Reza AsariSebastian F Schoppmann
Jul 31, 2013·Seminars in Ultrasound, CT, and MR·Christina A LeBedisAvneesh Gupta
Mar 5, 2013·Gastroenterology Clinics of North America·Candice L Wilshire, Thomas J Watson
Nov 20, 2012·Surgical Oncology Clinics of North America·Christian G Peyre, Jeffrey H Peters
Mar 22, 2016·The British Journal of Surgery·J Maret-OudaJ Lagergren
May 30, 2015·Gastroenterology Clinics of North America·Christian G Peyre, Thomas J Watson
May 13, 2015·The Surgical Clinics of North America·Kristin Hummel, William Richards
Feb 2, 2015·Journal of Pediatric Surgery·Dominic PapandriaPaul Colombani
Aug 16, 2016·Advances in Surgery·Yulia Zak, David W Rattner
Oct 15, 2013·Annals of the New York Academy of Sciences·Luigi BonavinaEelco Wassenaar
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Jul 11, 2020·Journal of Clinical Gastroenterology·Madhusudhan R SanakaSiva Raja
Jun 29, 2021·The American Surgeon·Medhat Y FanousSarah Williams
Aug 5, 2021·Obesity Surgery·Maria S AltieriEric J DeMaria

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