Outcomes after laparoscopic gastropexy as an alternative for paraesophageal hernia repair

5Citations
Citations of this article
22Readers
Mendeley users who have this article in their library.
Get full text

Abstract

Background: Outcomes after laparoscopic gastropexy (LG), performed as an alternative to formal paraesopha-geal hernia (PEH) repair in patients with giant PEH, have been rarely studied. This manuscript evaluates complications and long-term quality-of-life after LG. Methods: An IRB-approved protocol was used to identify patients who underwent LG to alleviate symptoms of acute or chronic gastric obstruction secondary to a para-esophageal hernia. Postoperative outcomes and quality-of-life data were retrospectively collected via chart review and prospectively via phone interview. Results: Twenty-six patients underwent LG, with a median age of 76 (52 – 91). Median follow-up was 28 (3 to 55) months. Gastropexy was the chosen intervention due to comorbid conditions (23, 88%), gastric inflammation (2, 8%), or intraoperative instability (1, 4%). Nine (35%) suffered postoperative complications, and 2 (8%) required reoperation. At the time of follow-up, 7 (27%) had died, 3 (11%) could not be reached. Sixteen (62%) completed the follow-up survey. Fourteen (88%) reported symptom resolution. Ten (62%) still required antireflux medication. Median Gastroesophageal Reflux Disease-Health Related Quality of Life score was 4.5 (0 to 19). Fourteen (88%) denied current dietary restrictions. All reported satisfaction with the operation. Conclusion: Laparoscopic PEH repair remains the stand-ard of care for the management of giant PEH. However, a subcategory of patients with high operative risk could be candidates for a shorter operative intervention. As our data infers, LG is a reasonable alternative in this patient population. While the continued use of antisecretory medications is sometimes required, LG restores the ability to tolerate full meals without restrictions and results in excellent patient satisfaction.

Cite

CITATION STYLE

APA

Bruenderman, E. H., Martin, R. C. G., & Kehdy, F. J. (2020). Outcomes after laparoscopic gastropexy as an alternative for paraesophageal hernia repair. Journal of the Society of Laparoendoscopic Surgeons, 24(4). https://doi.org/10.4293/JSLS.2020.00059

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free