Clinical outcome of laparoscopic antireflux surgery for patients with irritable bowel syndrome

Y. Raftopoulos, P. Papasavas, R. Landreneau, F. Hayetian, T. Santucci, D. Gagné, P. Caushaj, R. Keenan

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Background: The prevalence of irritable bowel syndrome (IBS) is higher among subjects with gastroesophageal reflux disease (GERD). This study aimed to assess the effect of IBS on the postoperative outcome of antireflux surgery. Methods: For this study, 102 patients who underwent laparoscopic fundoplication were screened preoperatively for IBS with the Rome II criteria. There were 32 patients in the IBS group and 70 patients in the non-IBS group. Most of the patients (97%) (31 of 32 IBS and 68 of 70 non-IBS patients) had both pre- and postoperative IBS evaluation. A visual analog GERD-specific scoring scale was used to evaluate GERD symptoms prospectively. Results: In both groups, GERD symptom scores were statistically improved postoperatively. Of the 31 IBS patients 25 (80.6%) showed a reduction in their symptoms below the Rome II criteria for IBS diagnosis postoperatively. Conclusion: Irritable bowel syndrome does not have a negative effect on the outcome of laparoscopic antireflux surgery. Surgical correction of GERD may improve the severity of irritable bowel symptoms.

Original languageEnglish (US)
Pages (from-to)655-659
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume18
Issue number4
DOIs
StatePublished - Apr 2004
Externally publishedYes

Keywords

  • Gastroesophageal reflux
  • Irritable bowel syndrome
  • Laparoscopic antireflux surgery

ASJC Scopus subject areas

  • Surgery

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