Quality of Life and Patient Satisfaction 3 Months and 3 Years After Laparoscopic Nissen's Fundoplication  

Oleh:

Hamdy, Emad ; El-Raouf, Ahmed Abd ; El-Hemaly, Mohamed ; Salah, Tarek ; El-Hanafy, Ehab ; Mostafa, Mohamed ; Hak, Nabil Gadel

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Saudi Journal of Gastroenterology vol. 14 no. 01 (Jan. 2008), page 24.
Topik: Laparoscopic Nissen's fundoplication; quality of life

Ketersediaan

Perpustakaan FK Nomor Panggil: T02.K.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Background / Aim : This study is based on studying the quality of life and degree of satisfaction among gastroesophageal reflux disease (GERD) patients after laparoscopic. Nossen's fundoplication (LNF) operations. Summary Background Data : A GERD patients is most interested in symptom rilief, whereas his surgeon will also be interested in the improvement of anatomical and functional investigations. Materials and Methods : One hundred patients with symptoms of GERD, adequate motility study and positive 24 hour pH studies underwent LNF in El-Mansoura Gastroenterology Center between 2002 and 2004. All patinets completed the Gastroesophageal Reflux Disease- Health Related Quality of Life (GERD-HRQL) questionnaire both pre and postoperatively (early within 3 moths after operation and late after 3 years). Furtermore, all patientss were given a form with 4 grades (exellent, good, fair, and poor) and they were requested to freely assess both the early and late clinical outcomes. Results : There was statistically significant improvement in all the items of the GERD-HRQL questionnaire, both early and late (P<0.001). With regard to patient satisfaction; only 58 cases showed excellent clinical satisfaction early postoperatively, while 29, 8 and 5 patients showed good, fair and poor responses, respectively. these figures improved on late follow up (P<0.05), i.e., 76 excellent, 16 good, and 8 fair result. Conclusion : LNF improves all the items of quality of life among GERD patients significantly (P<0.001). Patient satisfaction after LNF improves with time; 58 cases showed early postoperative excellent clinical satisfaction as compared to 76 late cases (P<0.05). However, LNF may not be the standard management of reflux symptoms, particularly from some patients perspective

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