title: Obesity and its effect on outcome of laparoscopic Nissen fundoplication.
abstract: Obesity has long been suspected as predisposing to gastroesophageal reflux disease, and it has also been claimed that it is an important cause of poor outcome following laparoscopic anti-reflux surgery. This study was performed to determine the validity of this proposition. The outcome of 194 patients from an overall experience of 971 laparoscopic anti-reflux procedures was determined in this study. Patients were included if they had undergone a laparoscopic Nissen fundoplication, had completed a minimum 12 months follow-up using a structured questionnaire, and had data available for the calculation of their preoperative body mass index (BMI). Patients were divided into three groups based on BMI: normal weight (BMI < 25), overweight (BMI 25-29.9), and obese (BMI >30). The association between BMI and outcome data from their most recent follow-up was analyzed. There was no correlation between increasing BMI and a poorer overall outcome. There was a slight trend toward less satisfaction with the surgical outcome in patients of normal weight. Preoperative obesity is not associated with a poorer outcome following laparoscopic Nissen fundoplication.
authors: University of Adelaide Department of Surgery, Royal Adelaide Hospital, South Australia, Australia.
authors: J
authors: J
authors: Fraser
authors: D I
authors: DI
authors: Watson
authors: C J
authors: CJ
authors: O'Boyle
authors: G G
authors: GG
authors: Jamieson
mesh_terms: D015992:Body Mass Index; D000075202:Contraindications; D005260:Female; D018662:Fundoplication; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009765:Obesity / Q000150:complications / Q000503:physiopathology*; D016896:Treatment Outcome