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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
RL Akehurst JE Brazier N Mathers C O’Keefe E Kaltenthaler A Morgan M Platts SJ Walters (2002) ArticleTitleHealth-related quality of life and cost impact of irritable bowel syndrome in a UK primary care setting. Pharmacoeconomics 20 455–462 Occurrence Handle12093301
DA Axelrod V Divi MM Ajluni FE Eckhauser LM Colletti (2002) ArticleTitleInfluence of functional bowel disease on outcome of surgical antireflux procedures. J Gastrointest Surg 6 632–637 Occurrence Handle10.1016/S1091-255X(01)00050-6 Occurrence Handle12127133
T Bammer RA Hinder A Klaus PJ Klingler (2001) ArticleTitleFive- to eight-year outcome of the first laparoscopic Nissen fundoplications. J Gastrointest Surg 5 42–48 Occurrence Handle10.1016/S1091-255X(01)80012-3 Occurrence Handle1:STN:280:DC%2BD3M3htlGrtA%3D%3D Occurrence Handle11309647
G Beldi A Glattli (2002) ArticleTitleLong-term gastrointestinal symptoms after laparoscopic nissen fundoplication. Surg Laparosc Endosc Percutan Tech 12 316–319 Occurrence Handle10.1097/00129689-200210000-00002 Occurrence Handle12409696
M Costantini GC Sturniolo G Zaninotto R D’Inca R Polo R Naccarato E Ancona (1993) ArticleTitleAltered esophageal pain threshold in irritable bowel syndrome. Dig Dis Sci 38 206–212 Occurrence Handle1:STN:280:ByyC2crnvFw%3D Occurrence Handle8093869
KR DeVault DO Castell (1999) ArticleTitleUpdated guidelines for the diagnosis and treatment of gastroesophageal reflux disease. Am J Gastrenterol 94 1434–1442 Occurrence Handle10.1016/S0002-9270(99)00179-3 Occurrence Handle1:STN:280:DyaK1M3ptVKksA%3D%3D
DA Drossman (1994) The functional gastrointestinal disorders: diagnosis, pathophysiology, and treatment: a multinational consensus. Little Brown Boston
IM Gralnek RD Hays A Kilbourne B Naliboff EA Mayer (2000) ArticleTitleThe impact of irritable bowel syndrome on health-related quality of life. Gastroenterology 119 654–660 Occurrence Handle1:STN:280:DC%2BD3cvnt1amuw%3D%3D Occurrence Handle10982758
GR Heudebert R Marks CM Wilcox RM Centor (1997) ArticleTitleChoice of long-term strategy for the management of patients with severe esophagitis: a cost-utility analysis. Gastroenterology 112 1078–1086 Occurrence Handle1:STN:280:ByiB2M3kt1Q%3D Occurrence Handle9097989
G Holtmann H Goebell NJ Talley (1997) ArticleTitleFunctional dyspepsia and irritable bowel syndrome: is there a common pathophysiological basis? Am J Gastroenterol 92 954–959 Occurrence Handle9177509
TM Kennedy RH Jones APS Hungin H O’Flanagan P Kelly (1998) ArticleTitleIrritable bowel syndrome, gastro-esophageal reflux, and bronchial hyperresponsiveness in the general population. Gut 43 770–774 Occurrence Handle1:STN:280:DyaK1M%2FntFaktQ%3D%3D Occurrence Handle9824603
T Lembo J Munakata H Mertz N Niazi A Kodner V Nikas EA Mayer (1994) ArticleTitleEvidence for the hypersensitivity of lumbar splachnic afferents in irritable bowel syndrome. Gastroenterology 107 1686–1696 Occurrence Handle1:STN:280:ByqD2cjhsVI%3D
TJ Lembo RN Fink (2002) ArticleTitleClinical assessment of irritable bowel syndrome. J Clin Gastroenterol 35 IssueID1 Suppl S31–S36 Occurrence Handle12184137
M Pimentel F Rossi EJ Chow J Ofman S Fullerton P Hassard HC Lin (2002) ArticleTitleIncreased prevalence of irritable bowel syndrome in patients with gastroesophageal reflux. Clin Gastroenterol 34 221–224 Occurrence Handle10.1097/00004836-200203000-00004
HL Smart DA Nicholson M Atkinson (1986) ArticleTitleGastroesophageal reflux in the irritable bowel syndrome. Gut 27 1127–1131 Occurrence Handle1:STN:280:BiiD2MrjsF0%3D Occurrence Handle3781323
. Surgeons ParticleSociety of American Gastrointestinal Endoscopic (1998) ArticleTitleGuidelines for surgical treatment of gastroesophageal reflux disease (GERD) Surg Endosc 12 186–188 Occurrence Handle10.1007/s004649900628
WG Thompson GF Longstreth DA Drossman KW Heaton EJ Irvine SA Muller-Lissner (1999) ArticleTitleFunctional bowel disorders and functional abdominal pain. Gut 45 IssueIDSuppl 2 II43–II47 Occurrence Handle10457044
N Vakil M Shaw R Kirby (2003) ArticleTitleClinical effectiveness of laparoscopic fundoplication in a U.S. community. Am J Med 114 l–5 Occurrence Handle10.1016/S0002-9343(02)01390-6
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Raftopoulos, Y., Papasavas, P., Landreneau, R. et al. Clinical outcome of Laparoscopic antireflux surgery for patients with irritable bowel syndrome. Surg Endosc 18, 655–659 (2004). https://doi.org/10.1007/s00464-003-8162-5
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1007/s00464-003-8162-5