Age and body mass index

Significant predictive factors for successful laparoscopic antireflux surgery

Tomoyuki Irino, Hiroya Takeuchi, Soji Ozawa, Yoshiro Saikawa, Takashi Oyama, Kunihiko Hiraiwa, Takahisa Yoshikawa, Masaki Kitajima, Yuukou Kitagawa

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: Laparoscopic antireflux surgery (LARS) is a feasible treatment for gastroesophageal reflux disease (GERD) patients, but it is unclear who will benefit from the surgery. This study investigated patients' GERDspecific quality of life (GsQOL) and analyzed the factors leading to the performance of successful LARS. Methods: Twenty-six (57.8%) of 45 consecutive patients who underwent LARS for GERD during the last decade were enrolled. All patients were evaluated by 24-h pH monitoring, esophageal manometry, esophagogastro- duodenoscopy and physical examinations. GsQOL was assessed by a visual analog scale, and the difference between the pre- and postoperative scores was defined as the visual analog scale improvement score (VASIS). The patients were classified into three groups based on the VASIS, and their clinical factors and surgical outcomes were compared. Results: The high VASIS group patients (>70 VASIS; Excellent group) patients were significantly younger and obese in comparison to low the VASIS group (<30 VASIS; Poor group) consisting of older nonobese patients (P < 0.05). A multiple regression analysis revealed that age <60 years and body mass index (BMI) >25 kg/m2 were significant factors that affected postoperative GsQOL. No other clinical or surgical factors had any influence on the postoperative GsQOL. Conclusion: These results suggest that age and BMI can be predictive factors for the performance of successful LARS.

Original languageEnglish
Pages (from-to)1137-1143
Number of pages7
JournalSurgery Today
Volume40
Issue number12
DOIs
Publication statusPublished - 2010 Dec

Fingerprint

Laparoscopy
Visual Analog Scale
Body Mass Index
Quality of Life
Gastroesophageal Reflux
Esophageal pH Monitoring
Digestive System Endoscopy
Manometry
Physical Examination

Keywords

  • Gastroesophageal reflux disease
  • Laparoscopic antireflux surgery
  • Quality of life

ASJC Scopus subject areas

  • Surgery

Cite this

Age and body mass index : Significant predictive factors for successful laparoscopic antireflux surgery. / Irino, Tomoyuki; Takeuchi, Hiroya; Ozawa, Soji; Saikawa, Yoshiro; Oyama, Takashi; Hiraiwa, Kunihiko; Yoshikawa, Takahisa; Kitajima, Masaki; Kitagawa, Yuukou.

In: Surgery Today, Vol. 40, No. 12, 12.2010, p. 1137-1143.

Research output: Contribution to journalArticle

Irino, T, Takeuchi, H, Ozawa, S, Saikawa, Y, Oyama, T, Hiraiwa, K, Yoshikawa, T, Kitajima, M & Kitagawa, Y 2010, 'Age and body mass index: Significant predictive factors for successful laparoscopic antireflux surgery', Surgery Today, vol. 40, no. 12, pp. 1137-1143. https://doi.org/10.1007/s00595-009-4200-9
Irino, Tomoyuki ; Takeuchi, Hiroya ; Ozawa, Soji ; Saikawa, Yoshiro ; Oyama, Takashi ; Hiraiwa, Kunihiko ; Yoshikawa, Takahisa ; Kitajima, Masaki ; Kitagawa, Yuukou. / Age and body mass index : Significant predictive factors for successful laparoscopic antireflux surgery. In: Surgery Today. 2010 ; Vol. 40, No. 12. pp. 1137-1143.
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