Minimally Invasive Surgery
Effective for GERD
Minimally invasive laparoscopic surgery relieved
symptoms of severe reflux disease and yielded high
levels of patient satisfaction five years after
the procedure, a French study found.
This form of surgery has been gaining popularity
for the treatment of severe gastroesophageal
reflux disease (GERD), the study authors noted.
Only a few studies have examined five-year
follow-up on large groups of people with GERD
who've had the procedure.
This study included 1,340 people treated at 31
hospitals. The average follow-up was 7.1 years.
"In this study, the intraoperative and
postoperative complication rates were 2.1 percent
and 2.6 percent, respectively, with a subsequent
operation rate of 4.4 percent at five years," the
study authors wrote.
"Of interest, overall patient satisfaction
following surgery was high, with 93.1 percent of
patients satisfied with their long-term outcome
and 94.1 percent willing to have the surgery
again. Although nearly 10 percent of patients
resumed taking antisecretory medication, in most
no evidence of reflux recurrence could be found,"
they added in a prepared statement.
The findings appear in the October issue of the
journal Archives of Surgery.
"In conclusion, the results of this study do not
differ significantly from the data reported in the
literature, suggesting that laparoscopic
antireflux surgery is an effective, long-term
procedure, is well tolerated, and can be properly
used in the treatment of GERD," the authors wrote.
The study was led by Dr. Patrick Pessaux, of the
University Hospital in Angers.