Research Article

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

Table 4

Long-term follow-up data.

AllNormal weightOverweightObese value

Patients number201438969
Follow-up interval y, mean (range)16 (11–21)15.8 (11–21)15.5 (11–21)15.1 (11–21)
 Incisional hernia2/110.480
 Dysphagia number (%)34 (16.9)8 (18.6)15 (16.8)11 (15.9)0.150
  <6 months27 (13.4)6 (13.9)12 (13.4)9 (13)
  >6 months7 (3.4)2 (4.6)3 (3.3)2 (2.8)
 Dilatation4 (2)1 (2.3)2 (2.2)1 (1.4)0.082
 Reoperation3 (1.5)1 (2.3)1 (1.1)1 (1.4)0.088
 Bloating number (%)35 (17.4)6 (13.9)13 (14.6)16 (23.1)0.386
Endoscopic data number (%)
 No esophagitis (NERD)33 (16.4)4 (9.3)11 18 0.0001
 Esophagitis (ERD)55 (27.3)5 (11.6)19 31 0.0001
 Reflux recurrence number (%)27 (13.4)1 (2.3)7 19 0.0001
 Reoperation7/10.0001
 (A) Wrap undone4/130.460
 (B) Fundoplication herniation3//30.322

versus normal weight.
versus normal weight and versus overweight.
NERD (nonerosive reflux disease).
ERD (erosive reflux disease).