Short- and Long-Term,11-22 Years,Results after Laparoscopic Nissen Fundoplication in Obese versus Nonobese Patients

Background. some studies suggest that obesity is associated with a poor outcome after laparoscopic nissen fundoplication (lnf),whereas others have not replicated these findings. the effect of body mass index (bmi) on the short- and long-term results of lnf is investigated. methods. inclusion criteria were only patients who undergone a lnf with at least 11-year follow-up data available,patients with preoperative weight and height data available for calculation of bmi (kg/m2),and patients with a bmi up to a maximum of 34.9. results. 201 patients met the inclusion criteria: 43 (21.4%) had a normal bmi,89 (44.2%) were overweight,and 69 (34.4%) were obese. the operation was significantly longer in obese patients; the use of drains and graft was less in the normal bmi group (p<0.0001). the hospital stay,conversion (6,4%),and intraoperative and early postoperative complications were not influenced by bmi. conclusions. bmi does not influence short-term outcomes following lnf,but long-term control of reflux in obese patients is worse than in normal weight subjects. © 2017 mario schietroma et al.