Brief Article
Copyright ©2013 Baishideng Publishing Group Co.
World J Gastroenterol. Jun 28, 2013; 19(24): 3810-3818
Published online Jun 28, 2013. doi: 10.3748/wjg.v19.i24.3810
Table 1 Baseline clinical characteristics n (%)
Follow-upStudy population (n = 249)Long-term (n = 139)
Age, yr (mean ± SD)51.2 ± 11.251.5 ± 10.6
Sex, male/female131/11876/62
ASA classification
I130 (52.0)85 (61.2)
II96 (38.4)40 (28.8)
III23 (9.2)14 (10.1)
Duration of GERD in years, median (IQR)6 (5.0-10.0)6 (4.0-10.0)
Preoperative medication
PPI222 (89.2)120 (86.3)
H2-antagonist and/or prokinetic27 (10.8)19 (13.7)
Duration of medical treatment, mo, median (IQR)18 (8.0-36.0)18 (6.0-36.0)
Preoperative Helicobacter pylori eradication36 (14.6)20 (14.4)
Preoperative symptom severity grade 1/2/3 as %1
Heartburn0/49.8/48.60/55.4/42.4
Regurgitation5.6/87.6/4.45.0/89.2/4.3
Dysphagia12.0/9.2/012.9/11.5/0
pH < 4 of total time, median (IQR) as %212.0 (8.0-18.7)11.5 (7.4-19.1)
DeMeester score, median (IQR)42.5 (28.4-71.3)41.0 (26.2-69.3)
Lower esophageal sphincter pressure in mmHg3, median (IQR)11.0 (8.0-16.0)11.0 (7.5-17.0)
Preoperative grading of esophagitis (Savary-Miller)
None68 (27.3)36 (25.9)
Grade 1 (single erosive lesion, one longitudinal fold)22 (8.8)16 (11.5)
Grade 2 (multiple erosive lesions, more than one fold)98 (39.4)57 (41.0)
Grade 3 (circumferential lesions)13 (5.2)3 (2.2)
Grade 4 (chronic ulcer or stricture ± Gr. 1-3)45 (2.0)3 (2.2)
Grade 5 (Barrett’s esophagus ± Gr. 1-3)43 (17.3)524 (17.2)6
Table 2 Operative data and short-term surgical outcome n (%)
n = 249
Type of surgery
Floppy Nissen fundoplication213 (85.5)
Rosetti-Hell fundoplication36 (14.5)
Hiatoplasty235 (94.4)
Conversion to open surgery17 (2.8)
Operation time, min, median (IQR)90 (70.3-135.0)
Mortality (30 d)0 (0.0)
Intraoperative complications3 (1.2)
Esophageal perforation2 (0.8)
Burn injury of the fundus1 (0.4)
Postoperative morbidity (30 d)219 (7.6)
General12 (4.8)
Atelectasis + fever5 (2.0)
Pneumonia7 (2.8)
Surgical9 (3.6)
Pleural empyema1 (0.4)
Fundic perforation (burn injury)1 (0.4)
Port-site hernia and bowel obstruction1 (0.4)
Port-site bleeding2 (0.8)
Excessive pain at port-site1 (0.4)
Gastric dilatation1 (0.4)
Wound infection1 (0.4)
Urinary retention1 (0.4)
Reoperation rate35 (2.0)
Relaparotomy4 (1.6)
Thoracotomy and decortication1 (0.4)
Postoperative hospital stay, d, median (IQR)2 (2-3)