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Laparoscopic antireflux surgery in the elderly

T L Trus¹, W S Laycock, J M Wo

¹Department of Digestive Diseases, Emory University, Atlanta, Georgia 30322, USA.

The American Journal of Gastroenterology

|March 28, 1998

Summary

Laparoscopic antireflux surgery is a safe and effective treatment for elderly patients with gastroesophageal reflux disease (GERD). Age should not be a barrier to this procedure, as outcomes are comparable to younger patients.

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Area of Science:

Gastroenterology
Surgical Innovation
Geriatric Medicine

Background:

Gastroesophageal reflux disease (GERD) often requires lifelong medication in younger patients.
Elderly patients with GERD face similar challenges and risks of complications.
Laparoscopic antireflux surgery is a standard treatment for younger individuals with GERD.

Purpose of the Study:

To compare the safety and efficacy of laparoscopic antireflux surgery in elderly patients (>=65 years) versus younger patients (<65 years).
To evaluate if advanced age is a contraindication for this surgical intervention in GERD management.

Main Methods:

A retrospective analysis of 359 patients undergoing laparoscopic antireflux surgery.
Comparison of 42 elderly patients with a younger cohort.

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Pre- and post-operative symptom scoring and 24-hour ambulatory pH monitoring were used.

Statistical analysis using the Mann-Whitney U test.

Main Results:

Elderly patients had higher preoperative ASA scores but similar baseline GERD symptoms and pH monitoring results.
Both age groups showed equivalent improvements in symptoms and pH after surgery.
No mortality was observed in either group, with comparable morbidity and hospital stays.

Conclusions:

Laparoscopic antireflux surgery is a safe and effective treatment option for GERD in the elderly population.
Age alone should not be a reason to deny patients this surgical intervention.
The procedure offers comparable outcomes in elderly and younger patients.