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The role of anterior gastropexy in elderly Japanese hiatal hernia patients.
Yokouchi, Takashi; Nakajima, Kiyokazu; Takahashi, Tsuyoshi; Yamashita, Kotaro; Saito, Takuro; Tanaka, Koji; Yamamoto, Kazuyoshi; Makino, Tomoki; Kurokawa, Yukinori; Eguchi, Hidetoshi; Doki, Yuichiro.
Afiliação
  • Yokouchi T; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, Japan.
  • Nakajima K; Department of Next Generation Endoscopic Intervention (Project ENGINE), Center of Medical Innovation and Translational Research, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, Japan.
  • Takahashi T; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, Japan. knakajima@gesurg.med.osaka-u.ac.jp.
  • Yamashita K; Department of Next Generation Endoscopic Intervention (Project ENGINE), Center of Medical Innovation and Translational Research, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, Japan. knakajima@gesurg.med.osaka-u.ac.jp.
  • Saito T; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, Japan.
  • Tanaka K; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, Japan.
  • Yamamoto K; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, Japan.
  • Makino T; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, Japan.
  • Kurokawa Y; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, Japan.
  • Eguchi H; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, Japan.
  • Doki Y; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, Japan.
Surg Today ; 54(9): 1051-1057, 2024 Sep.
Article em En | MEDLINE | ID: mdl-38514475
ABSTRACT

PURPOSE:

As Japanese society ages, the number of surgeries performed in elderly patients with hiatal hernia (HH) is increasing. In this study, we examined the feasibility, safety, and potential effectiveness of the addition of anterior gastropexy to hiatoplasty with or without mesh repair and/or fundoplication in elderly Japanese HH patients.

METHODS:

We retrospectively evaluated 39 patients who underwent laparoscopic HH repair between 2010 and 2021. We divided them into 2 groups according to age the "younger" group (< 75 years old, n = 21), and the "older" group (≥ 75 years old, n = 18). The patient characteristics, intraoperative data, and postoperative results were collected.

RESULTS:

The median ages were 68 and 82 years old in the younger and older groups, respectively, and the female ratio was similar between the groups (younger vs. older 67% vs. 78%, p = 0.44). The older group had more type III/IV HH cases than the younger group (19% vs. 83%, p < 0.001). The operation time was longer in the older group than in the younger group, but there was no significant difference in blood loss, perioperative complications, or postoperative length of stay between the groups. The older group had significantly more cases of anterior gastropexy (0% vs. 78%, p < 0.001) and less fundoplication (100% vs. 67%, p = 0.004) than the younger group. There was no significant difference in HH recurrence between the groups (5% vs. 11%, p = 0.46).

CONCLUSIONS:

The addition of anterior gastropexy to other procedures is feasible, safe, and potentially effective in elderly Japanese patients with HH.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Estudos de Viabilidade / Laparoscopia / Fundoplicatura / Gastropexia / Hérnia Hiatal Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Estudos de Viabilidade / Laparoscopia / Fundoplicatura / Gastropexia / Hérnia Hiatal Idioma: En Ano de publicação: 2024 Tipo de documento: Article