Association of Body Mass Index (BMI) with Patterns of Fundoplication Failure

Insights Gained

Shunsuke Akimoto, Kalyana C. Nandipati, Harit Kapoor, Se Ryung Yamamoto, Pradeep K. Pallati, Sumeet K. Mittal

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: Obesity has been implicated as an important risk factor for fundoplication failure. However, the mechanism of fundoplication in obese patients is not fully understood. Our objective is to evaluate the patterns of failure in relation to the body mass index (BMI) undergoing re-operative intervention after failed fundoplication. Methods: After Institutional Review Board approval, the patients who underwent re-operative intervention for failed fundoplication between November 2008 and December 2013 were identified. Patients were classified into three groups: non-obese, obese, and morbidly obese (35 BMI, respectively). Pre-operative assessment and operative procedure performed were compared between the groups. Results: One hundred twenty-four patients satisfied study criteria. Non-obese patients (53.2 %) had significantly more dysphagia as an indication for re-operative procedure (obese 31.6 %, p <0.05; morbidly 16.7 %, p <0.05). Obese and morbidly obese patients had significantly higher incidence of recurrent hiatal hernia than non-obese patients (88.7 vs. 65.6 %, p <0.05). Morbidly obese patients had significantly higher incidence of disrupted fundoplication than non-obese patients (41.7 vs. 19.4 %, p <0.05). Conclusion: Similar anatomical failure patterns of state of fundoplication and recurrent hiatal hernia were noted between obese patients and morbidly obese patients and were distinct from non-obese patients.

Original languageEnglish
Pages (from-to)1943-1948
Number of pages6
JournalJournal of Gastrointestinal Surgery
Volume19
Issue number11
DOIs
StatePublished - Aug 5 2015

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Fundoplication
Body Mass Index
Hiatal Hernia
Operative Surgical Procedures
Research Ethics Committees
Incidence
Deglutition Disorders
Obesity

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology
  • Medicine(all)

Cite this

Association of Body Mass Index (BMI) with Patterns of Fundoplication Failure : Insights Gained. / Akimoto, Shunsuke; Nandipati, Kalyana C.; Kapoor, Harit; Yamamoto, Se Ryung; Pallati, Pradeep K.; Mittal, Sumeet K.

In: Journal of Gastrointestinal Surgery, Vol. 19, No. 11, 05.08.2015, p. 1943-1948.

Research output: Contribution to journalArticle

Akimoto, Shunsuke ; Nandipati, Kalyana C. ; Kapoor, Harit ; Yamamoto, Se Ryung ; Pallati, Pradeep K. ; Mittal, Sumeet K. / Association of Body Mass Index (BMI) with Patterns of Fundoplication Failure : Insights Gained. In: Journal of Gastrointestinal Surgery. 2015 ; Vol. 19, No. 11. pp. 1943-1948.
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