期刊
JOURNAL OF GASTROINTESTINAL SURGERY
卷 16, 期 3, 页码 453-459出版社
SPRINGER
DOI: 10.1007/s11605-011-1743-z
关键词
Laparoscopic paraesophageal hernia; Recurrence rate; Long-term clinical outcomes
资金
- Cook Biotech
- Mary and Dennis Wise Fund
- University of Washington
We recently reported in a multi-institutional, randomized study of laparoscopic paraesophageal hernia repair (LPEHR) that the anatomic recurrence rate at a median of approximately 5 years was > 50%. This study focuses exclusively on the symptomatic response to LPEHR and its relationship with the development of a recurrent hernia. During 2002 to 2005, 108 patients underwent LPHER with or without biologic mesh. A standardized symptom severity questionnaire, SF-36 health survey, and upper gastrointestinal series were performed at baseline, 6 months, and during 2008-2009. Of 108 patients, 72 (average age of 68 +/- 10 years) underwent clinical assessment, and 60 of them also had radiologic studies at a median follow-up of 58 (40-78) months. Radiographic recurrence (a parts per thousand yen20 mm) was 14% at 6 months and 57% at the time of follow-up, and the average recurrence size was 40 +/- 10 mm. All symptoms were significantly improved at long-term follow-up and, with the exception of heartburn, were unaffected by the presence or size of the recurrence. Two patients (3%) with recurrent symptoms related to their hernia underwent reoperation. Despite frequent radiologic recurrences after LPEHR, symptoms remain well controlled, patient satisfaction is high, and the need for reoperation is low.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据