Frailty predicts recurrence after laparoscopic Nissen fundoplication with mesh cruroplasty for giant sliding hiatal hernia with severe reflux esophagitis in elderly patients: a multicenter retrospective study - Summary - MDSpire

Frailty predicts recurrence after laparoscopic Nissen fundoplication with mesh cruroplasty for giant sliding hiatal hernia with severe reflux esophagitis in elderly patients: a multicenter retrospective study

  • By

  • Tamer. A. A. M. Habeeb

  • Abdulzahra Hussain

  • Alberto Aiolfi

  • Jose Bueno- Lledó

  • Massimo Chiaretti

  • Igor A. Kryvoruchko

  • Mohammad Kermansaravi

  • Abdelrahman Nimeri

  • Abd Al-Kareem Elias

  • Saad Mohamed Ali Ahmed

  • Esmail Tharwat Kamel Awad

  • Mohamed. A. Gadallah

  • Ahmed Khyrallh

  • Mohammed H. Alsayed

  • Mohamed Fathy Labib

  • Sobhy Rezk Ahmed Teama

  • Abdelhafez Seleem

  • Mohammed Hassan Elshafey

  • Mostafa Mahmoud Salama Mostafa

  • Hamdi Elbelkasi

  • Mahmoud Ali Abou Zaid

  • Ahmed Hamdy

  • Mohamed Ibrahim Abo Alsaad

  • Maged Z. Youssef

  • Rasha Mohamed Motawea Ali

  • Ibtsam AbdelMaksoud Mohamed El Shamy

  • Ahmed Salah Arafa

  • Ibrahim A. Heggy

  • Sameh Mohamed Naguib

  • Tamer Wasefy

  • Mohamed Abozaid

  • Tamer Mohamed Elshahidy

  • Abdelshafy Mostafa

  • Mohamed Elnemr

  • Abdelrahman Mohamed Hasanin Nawar

  • Mostafa M. Khairy

  • Ahmed Mesbah Abdelaziz

  • Abdelfatah H. Abdelwanis

  • Ahmed M. El Teliti

  • July 18, 2025

  • 0 min

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Objective:

To evaluate the role of frailty as a predictor of recurrence in elderly patients undergoing laparoscopic Nissen fundoplication with mesh cruroplasty for giant sliding hiatal hernia.

Key Findings:
  • Frailty independently predicts recurrence of sliding hiatal hernia after surgical repair in elderly patients, highlighting the need for tailored surgical approaches.
  • The study found a significant difference in recurrence rates between frail and non-frail patients, suggesting frailty assessment should be routine.
  • Elderly patients with frailty assessments had comparable postoperative outcomes to younger cohorts when carefully selected, indicating the potential for age-neutral surgical criteria.
Interpretation:

Frailty assessment should be integrated into surgical decision-making for elderly patients, as it provides a more accurate prediction of postoperative outcomes than chronological age alone, potentially improving patient selection.

Limitations:
  • The study is retrospective and may have inherent biases that could affect the reliability of the findings.
  • The findings are based on a specific population and may not be generalizable to all elderly patients, particularly those with different comorbidities.
Conclusion:

Frailty is a critical factor in predicting recurrence after laparoscopic repair of giant sliding hiatal hernia in elderly patients, emphasizing the need for comprehensive preoperative assessments to improve surgical outcomes.

Original Source(s)

Frailty predicts recurrence after laparoscopic Nissen fundoplication with mesh cruroplasty for giant sliding hiatal hernia with severe reflux esophagitis in elderly patients: a multicenter retrospective study

  • by Tamer. A. A. M. Habeeb, Abdulzahra Hussain, Alberto Aiolfi, Jose Bueno- Lledó, Massimo Chiaretti, Igor A. Kryvoruchko, Mohammad Kermansaravi, Abdelrahman Nimeri, Abd Al-Kareem Elias, Saad Mohamed Ali Ahmed, Esmail Tharwat Kamel Awad, Mohamed. A. Gadallah, Ahmed Khyrallh, Mohammed H. Alsayed, Mohamed Fathy Labib, Sobhy Rezk Ahmed Teama, Abdelhafez Seleem, Mohammed Hassan Elshafey, Mostafa Mahmoud Salama Mostafa, Hamdi Elbelkasi, Mahmoud Ali Abou Zaid, Ahmed Hamdy, Mohamed Ibrahim Abo Alsaad, Maged Z. Youssef, Rasha Mohamed Motawea Ali, Ibtsam AbdelMaksoud Mohamed El Shamy, Ahmed Salah Arafa, Ibrahim A. Heggy, Sameh Mohamed Naguib, Tamer Wasefy, Mohamed Abozaid, Tamer Mohamed Elshahidy, Abdelshafy Mostafa, Mohamed Elnemr, Abdelrahman Mohamed Hasanin Nawar, Mostafa M. Khairy, Ahmed Mesbah Abdelaziz, Abdelfatah H. Abdelwanis, Ahmed M. El Teliti

  • July 18, 2025

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