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Tytuł pozycji:

Morbidity of antireflux surgery in lung transplant and matched nontransplant cohorts is comparable.

Tytuł:
Morbidity of antireflux surgery in lung transplant and matched nontransplant cohorts is comparable.
Autorzy:
Razia D; Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Rd, Suite 500, Phoenix, AZ, 85013, USA.; Creighton University School of Medicine - Phoenix Regional Campus, Phoenix, AZ, USA.
Mittal SK; Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Rd, Suite 500, Phoenix, AZ, 85013, USA. .; Creighton University School of Medicine - Phoenix Regional Campus, Phoenix, AZ, USA. .
Walia R; Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Rd, Suite 500, Phoenix, AZ, 85013, USA.; Creighton University School of Medicine - Phoenix Regional Campus, Phoenix, AZ, USA.
Tokman S; Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Rd, Suite 500, Phoenix, AZ, 85013, USA.; Creighton University School of Medicine - Phoenix Regional Campus, Phoenix, AZ, USA.
Huang JL; Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Rd, Suite 500, Phoenix, AZ, 85013, USA.; Creighton University School of Medicine - Phoenix Regional Campus, Phoenix, AZ, USA.
Smith MA; Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Rd, Suite 500, Phoenix, AZ, 85013, USA.; Creighton University School of Medicine - Phoenix Regional Campus, Phoenix, AZ, USA.
Bremner RM; Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Rd, Suite 500, Phoenix, AZ, 85013, USA.; Creighton University School of Medicine - Phoenix Regional Campus, Phoenix, AZ, USA.
Źródło:
Surgical endoscopy [Surg Endosc] 2023 Feb; Vol. 37 (2), pp. 1114-1122. Date of Electronic Publication: 2022 Sep 21.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: 1992- : New York : Springer
Original Publication: [Berlin] : Springer International, c1987-
MeSH Terms:
Gastroesophageal Reflux*/surgery
Lung Transplantation*
Laparoscopy*
Adult ; Humans ; Postoperative Complications/epidemiology ; Morbidity ; Fundoplication ; Treatment Outcome
References:
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Contributed Indexing:
Keywords: Gastroesophageal reflux; Laparoscopic antireflux surgery; Lung transplantation; Morbidity; Readmissions; Safety
Entry Date(s):
Date Created: 20220921 Date Completed: 20230224 Latest Revision: 20230510
Update Code:
20240105
PubMed Central ID:
PMC9491650
DOI:
10.1007/s00464-022-09598-9
PMID:
36131161
Czasopismo naukowe
Background: Safety data on perioperative outcomes of laparoscopic antireflux surgery (LARS) after lung transplantation (LT) are lacking. We compared the 30-day readmission rate and short-term morbidity after LARS between LT recipients and matched nontransplant (NT) controls.
Methods: Adult patients who underwent LARS between January 1, 2015, and October 31, 2021, were included. The participants were divided into two groups: LT recipients and NT controls. First, we compared 30-day readmission rates after LARS between the LT and NT cohorts. Next, we compared 30-day morbidity after LARS between the LT cohort and a 1-to-2 propensity score-matched NT cohort.
Results: A total of 1328 patients (55 LT recipients and 1273 NT controls) were included. The post-LARS 30-day readmission rate was higher in LT recipients than in the overall NT controls (14.5% vs. 2.8%, p < 0.001). Compared to matched NT controls, LT recipients had a lower prevalence of paraesophageal hernia, a smaller median hernia size, and higher peristaltic vigor. Also compared to the matched NT controls, the LT recipients had a lower median operative time but a longer median length of hospital stay. The proportion of patients with a post-LARS event within 30 postoperative days was comparable between the LT and matched NT cohorts (21.8% vs 14.5%, p = 0.24).
Conclusions: Despite a higher perceived risk of comorbidity burden, LT recipients and matched NT controls had similar rates of post-LARS 30-day morbidity at our large-volume center with expertise in transplant and foregut surgery. LARS after LT is safe.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

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