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Assessment of Quality of Life after Laparoscopic Nissen Fundoplication in Patients with Gastroesophageal Reflux Disease

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Abstract

Background

In this study two different quality of life items are compared, and correlation of patient satisfaction with preoperative and postoperative symptoms after laparoscopic Nissen fundoplication (LNF) for chronic gastroesophageal reflux disease is evaluated.

Materials and Methods

Between December 2002 and December 2004, 60 patients with a diagnosis of chronic gastroesophageal reflux disease scheduled for laparoscopic Nissen fundoplication were recruited prospectively and volunteered to participate in this study. Patients underwent endoscopy, and their disease-specific symptoms were scored on a scale. Quality of life was measured preoperatively and in the first and sixth postoperative months with two questionnaires: Short Form-36 (SF 36) (preoperatively) and the Gastroesophageal Reflux Disease—Health-Related Quality of Life (GERD-HRQL) (postoperatively).

Results

In more than 90% of the patients, typical symptoms (regurgitation and pyrozis) were controlled postoperatively (p < 0.001). In the first postoperative month, however, dysphagia (early dysphagia) was seen in 46 (76%) patients, whereas in the sixth postoperative month (late dysphagia) its incidence decreased to only 2 (3.3%) patients. Similarly, in the first postoperative month 42 (70%) patients had gas bloating, but the incidence of this symptom decreased to 26 (43.3%) patients by the sixth month (p = 0.01). The quality-of-life measurements obtained from both SF 36 and GERD-HRQL showed that quality of life of the patients improved significantly in the related domain of each item after surgery (p < 0.001).

Conclusions

Laparoscopic Nissen fundoplication is an effective operation that controls the typical symptoms and improves the quality of life of patients, but new-onset symptoms affect postoperative well-being. For closer evaluation of the benefits of the operation, we need new questionnaires that comprehensively evaluate the symptom spectrum of GERD both preoperatively and postoperatively.

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Reference

  1. Velanovich V. The quality of quality of life studies in general surgical journals. J Am Coll Surg 2001;193:288–296

    Article  PubMed  CAS  Google Scholar 

  2. Ware J, Kosinki M, Keller S. SF-36 Physical and Mental Health Summary Scales: A User Manual, Boston, The Health Institute, New England Medical Center, 1994

  3. Velanovich V, Vallance SR, Gusz JR, et al. Quality of life scale for gastroesophageal reflux disease. J Am Col1 Surg 1996;183:217–224

    CAS  Google Scholar 

  4. Velanovich V. Comparison of generic (SF 36) versus disease specific (GERD-HRQL) quality of life scales for gastroesophageal reflux disease. J Gastrointest Surg 1998;2:141–145

    Article  PubMed  CAS  Google Scholar 

  5. Kanwal F, Gralnek IM. Measuring health-related quality of life in gastroenterology and hepatology: part 2. What is available? Evidence-Based Gastroenterol 2003;4:65–79

    Article  Google Scholar 

  6. Carlson MA, Frantzides CT. Complications and results of primary minimally invasive antireflux procedures: a review of 10375 reported cases. J Am Coll Surg 2001;193:428–439

    Article  PubMed  CAS  Google Scholar 

  7. Yerdel MA, Karayalcin K, Koyuncu A, et al. Direct trocar insertion versus Veress needle insertion in laparoscopic cholecystectomy. Am J Surg 1999;177:247–249

    Article  PubMed  CAS  Google Scholar 

  8. Bammer T, Hinder RA, Klaus A, et al. Five- to eight-year outcome of the first laparoscopic Nissen fundoplications. J Gastrointest Surg 2001;5:42–48

    Article  PubMed  CAS  Google Scholar 

  9. Beldi G, Glattli A. Long-term gastrointestinal symptoms after laparoscopic Nissen fundoplication. Surg Laparosc Endosc Percutan Tech 2002;5:316–319

    Article  Google Scholar 

  10. Luostarinen M, Vurtanen J, Koskinen M, et al. Dysphagia and oesophageal clearance after laparoscopic versus open Nissen fundoplication. A randomized, prospective trial. Scand J Gastroenterol 2001;36:565–571

    Article  PubMed  CAS  Google Scholar 

  11. Low DE. Management of the problem patient after antireflux surgery. Gastroenterol Clin North Am 1994;23:371–389

    PubMed  CAS  Google Scholar 

  12. Mungan Z, Demir K, Onuk MD, et al. Characteristics of gastroesophageal reflux disease in our country. Turk J Gastroenterol 1999;10:101–106

    Google Scholar 

  13. Bessell JR, Finch R, Gotley DC, et al. Chronic dysphagia following laparoscopic fundoplication. Br J Surg 2000;87:1341–1345

    Article  PubMed  CAS  Google Scholar 

  14. Patti MG, Arcerito M, Feo CV, et al. An analysis of operations for gastroesophageal reflux disease. Identifying the important technical elements. Arch Surg 1998;133:600–607

    Article  PubMed  CAS  Google Scholar 

  15. Kanwal F, Gralnek IM. Measurıng health-related qualıty of lıfe in gastroenterology and hepatology: part 1. Evidence-Based Gastroenterol 2002;3:128–132

    Article  Google Scholar 

  16. Modlin IM, Moss SF, Kidd M, et al. Gastroesophageal reflux disease: now and then. J Clin Gastroenterol 2004;38:390–402

    PubMed  Google Scholar 

  17. Revicki DA, Wood M, Maton PN, et al. the impact of gastroesophageal reflux disease on health-related quality of life. Am J Med 1998;104:252–258

    Article  PubMed  CAS  Google Scholar 

  18. Lundell L. Complications after antireflux surgery. Best Pract Res Clin Gastroenterol 2004;18:935–945

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of General Surgery, Ankara University, Guvenlik cad, 59/5 A Ayranci, Ankara, Turkey, 06550

    Deniz Balci MD & Ahmet G. Turkcapar MD

Authors
  1. Deniz Balci MD
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  2. Ahmet G. Turkcapar MD
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Correspondence to Deniz Balci MD.

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Balci, D., Turkcapar, A.G. Assessment of Quality of Life after Laparoscopic Nissen Fundoplication in Patients with Gastroesophageal Reflux Disease. World J. Surg. 31, 116–121 (2007). https://doi.org/10.1007/s00268-005-0658-9

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  • DOI: https://doi.org/10.1007/s00268-005-0658-9

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