P-BN04 Evaluation of Outcomes of Anti-reflux Surgery in a District General Hospital

Abstract Background Gastro-oesophageal reflux disease (GORD) affects up to 20% of the Western population, and is usually associated with presence hiatus hernia (HH). Proton pump inhibitors (PPI) are mainstay treatment, but half PPI users have persistent symptoms. Anti-reflux surgery in form fundoplication HH repair can be considered patients unable tolerate or unwilling persevere long term medical therapy those severe sequalae reflux, such as Barrett esophagus non-healing erosive esophagitis. We aim evaluate outcomes factors relating surgical success anti-reflux surgery. Methods identified who had from our prospectively maintained theatre database over a eight year period. Retrospective data collection was performed, inclusive patients’ pre-operative investigations, intraoperative findings postoperative patient outcomes. Chi Square Mann Whitney U test were used calculate statistical significance. 187 cases analyzed, involving only 167 unique 14 1 redo 2 surgeries. Results Male female ratio 2:3. Median age 59 years median BMI 29.1. 85% performed laparoscopically, which shorter length stay at days. Pre-operative assessment size barium swallow highest sensitivity (82%) specificity (75%). Large moderate more prevalent patients. Rolling dysphagia vomiting whereas sliding likely repaired an open approach require hiatal mesh compared HH. Conclusions In 96% followed up, we successfully achieved symptom control 94% them. Although find specific contributing recurrence surgeries, able identify certain tests predict difficulty Larger scale case series would allow us cohort higher risk unsuccessful