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2017, Number 1

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Rev Mex Cir Endoscop 2017; 18 (1)

Laparoscopic fundoplication. Relationship of preoperative body mass index and recurrence of reflux symptoms

Vargas-Flores E, Lozada-Hernández EE, Bevia-Pérez F, Peralta-Amaro AL, Arenas-Osuna J, Servín-Torres E, Delgadillo-Teyer GH, Regalado-Aquino A

Language: Spanish
References: 16
Page: 18-22
PDF size: 203.40 Kb.


ABSTRACT

Introduction: The association between gastroesophageal reflux disease (GERD) and obesity has generated considerable interest, since the later is thought to be a potential risk factor for GERD. Obesity has been associated with an increase in the rate of dysfunction or complication following a fundoplication, with a report in the literature of 2-20% in its incidence. Objective: To describe the relationship between body mass index and the rate of dysfunction or complication after laparoscopic anti-reflux surgeries, and to analyze those related factors. Material and methods: This is a retrospective, observational and comparative study, performed in the department of general surgery at the Hospital of Specialties «La Raza» Medical Center, from January 1st, 2011 to December 31st, 2015. Patients submitted to laparoscopic fundoplication were included. The variables studied were preoperative body mass index, transoperative findings and persistence, recurrence and appearance of new symptoms. Results: 210 patients were analyzed, of whom 70 patients (33%) presented with data of complication or dysfunction. The total follow-up in days was 312 (interquartile range 25-75%, from 135 to 731). The average period from immediate postoperative to the presence of symptoms was 504.85 days ± 383. Patients in the obese group presented with dysfunction in 50%, while those in the non-obese group, in 28% (p = 0.005). Conclusions: Subjects with a preoperative BMI greater than 30 have a 2.5-fold increased risk to develop dysfunction and complications with esophageal symptoms when compared to non-obese.


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