{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T11:56:57Z","timestamp":1789732617693,"version":"4.0.1"},"reference-count":59,"publisher":"Wiley","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Obesity"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>\n                    <jats:italic>Background<\/jats:italic>\n                    . Some studies suggest that obesity is associated with a poor outcome after Laparoscopic Nissen Fundoplication (LNF), whereas others have not replicated these findings. The effect of body mass index (BMI) on the short- and long-term results of LNF is investigated.\n                    <jats:italic>Methods<\/jats:italic>\n                    . Inclusion criteria were only patients who undergone a LNF with at least 11-year follow-up data available, patients with preoperative weight and height data available for calculation of BMI (Kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    ), and patients with a BMI up to a maximum of 34.9.\n                    <jats:italic>Results<\/jats:italic>\n                    . 201 patients met the inclusion criteria: 43 (21.4%) had a normal BMI, 89 (44.2%) were overweight, and 69 (34.4%) were obese. The operation was significantly longer in obese patients; the use of drains and graft was less in the normal BMI group (\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                      <mml:mi>p<\/mml:mi>\n                      <mml:mo>&lt;<\/mml:mo>\n                      <mml:mn fontstyle=\"italic\">0.0001<\/mml:mn>\n                    <\/mml:math>\n                    ). The hospital stay, conversion (6,4%), and intraoperative and early postoperative complications were not influenced by BMI.\n                    <jats:italic>Conclusions<\/jats:italic>\n                    . BMI does not influence short-term outcomes following LNF, but long-term control of reflux in obese patients is worse than in normal weight subjects.\n                  <\/jats:p>","DOI":"10.1155\/2017\/7589408","type":"journal-article","created":{"date-parts":[[2017,5,11]],"date-time":"2017-05-11T17:04:36Z","timestamp":1494522276000},"page":"1-9","source":"Crossref","is-referenced-by-count":39,"title":["Short- and Long-Term, 11\u201322 Years, Results after Laparoscopic Nissen Fundoplication in Obese versus Nonobese Patients"],"prefix":"10.1155","volume":"2017","author":[{"given":"Mario","family":"Schietroma","sequence":"first","affiliation":[{"name":"Department of Surgery, University of L\u2019Aquila, L\u2019Aquila, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7767-858X","authenticated-orcid":true,"given":"Federica","family":"Piccione","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of 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