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Does Barrett's esophagus impact outcome after laparoscopic Nissen fundoplication?
Am J Surg 2006; 192(5):622-6AJ

Abstract

BACKGROUND

This study was undertaken to compare patients with gastroesophageal reflux disease (GERD) with or without Barrett's esophagus for severity and frequency of symptoms and their response to antireflux surgery.

METHODS

Eighty patients with GERD and Barrett's esophagus and 93 concurrent patients with GERD alone, all of whom underwent laparoscopic Nissen fundoplication, were compared by using symptom scores graded by a Likert scale.

RESULTS

Before fundoplication, patients with Barrett's esophagus had higher DeMeester scores. Symptom scores were not different for patients with versus without Barrett's esophagus before or after laparoscopic Nissen fundoplication.

CONCLUSIONS

Before and after fundoplication, patients with Barrett's esophagus, despite more severe reflux, have symptoms nearly identical in frequency and severity when compared with patients with GERD alone. Regardless of presence of Barrett's, all improve dramatically with laparoscopic Nissen fundoplication. Barrett's esophagus does not impact presentation before or outcome after laparoscopic Nissen fundoplication.

Authors+Show Affiliations

Digestive Disorders Center, Tampa General Hospital and the Department of Surgery, University of South Florida College of Medicine, PO Box 1289, Room F145, Tampa, FL 33601, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17071195

Citation

Cowgill, Sarah M., et al. "Does Barrett's Esophagus Impact Outcome After Laparoscopic Nissen Fundoplication?" American Journal of Surgery, vol. 192, no. 5, 2006, pp. 622-6.
Cowgill SM, Al-Saadi S, Villadolid D, et al. Does Barrett's esophagus impact outcome after laparoscopic Nissen fundoplication? Am J Surg. 2006;192(5):622-6.
Cowgill, S. M., Al-Saadi, S., Villadolid, D., Zervos, E. E., & Rosemurgy, A. S. (2006). Does Barrett's esophagus impact outcome after laparoscopic Nissen fundoplication? American Journal of Surgery, 192(5), pp. 622-6.
Cowgill SM, et al. Does Barrett's Esophagus Impact Outcome After Laparoscopic Nissen Fundoplication. Am J Surg. 2006;192(5):622-6. PubMed PMID: 17071195.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does Barrett's esophagus impact outcome after laparoscopic Nissen fundoplication? AU - Cowgill,Sarah M, AU - Al-Saadi,Sam, AU - Villadolid,Desiree, AU - Zervos,Emmanuel E, AU - Rosemurgy,Alexander S,2nd PY - 2006/05/08/received PY - 2006/08/02/revised PY - 2006/08/02/accepted PY - 2006/10/31/pubmed PY - 2006/12/9/medline PY - 2006/10/31/entrez SP - 622 EP - 6 JF - American journal of surgery JO - Am. J. Surg. VL - 192 IS - 5 N2 - BACKGROUND: This study was undertaken to compare patients with gastroesophageal reflux disease (GERD) with or without Barrett's esophagus for severity and frequency of symptoms and their response to antireflux surgery. METHODS: Eighty patients with GERD and Barrett's esophagus and 93 concurrent patients with GERD alone, all of whom underwent laparoscopic Nissen fundoplication, were compared by using symptom scores graded by a Likert scale. RESULTS: Before fundoplication, patients with Barrett's esophagus had higher DeMeester scores. Symptom scores were not different for patients with versus without Barrett's esophagus before or after laparoscopic Nissen fundoplication. CONCLUSIONS: Before and after fundoplication, patients with Barrett's esophagus, despite more severe reflux, have symptoms nearly identical in frequency and severity when compared with patients with GERD alone. Regardless of presence of Barrett's, all improve dramatically with laparoscopic Nissen fundoplication. Barrett's esophagus does not impact presentation before or outcome after laparoscopic Nissen fundoplication. SN - 1879-1883 UR - https://www.unboundmedicine.com/medline/citation/17071195/Does_Barrett's_esophagus_impact_outcome_after_laparoscopic_Nissen_fundoplication L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9610(06)00500-9 DB - PRIME DP - Unbound Medicine ER -