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 - Takeaways - 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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  • 1

    The study investigates frailty as a predictor of recurrence after laparoscopic Nissen fundoplication in elderly patients with giant sliding hiatal hernia.

  • 2

    Elderly patients (≥60 years) undergoing surgery for giant sliding hiatal hernia have higher complication and recurrence rates compared to younger patients.

  • 3

    Frailty assessment is crucial in surgical decision-making, as it independently predicts postoperative complications beyond chronological age.

  • 4

    The study included 266 elderly patients who underwent laparoscopic repair, with outcomes measured over a standardized three-year follow-up.

  • 5

    Findings suggest that frailty may significantly influence the risk of recurrence in elderly patients after surgical repair of giant sliding hiatal hernia.

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