Improvement in Quality-Of-Life After Laparoscopic Nissen Fundoplication (original) (raw)
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Chirurgia (Bucharest, Romania : 1990)
Laparoscopic fundoplication (LF) is the treatment of choice for gastroesophageal reflux disease (GERD).Our paper evaluates post LF quality of life (QL). Patients treated between January 2008 and May 2011 by the same surgeon were asked to fill in the Velanovich questionnaires for Gastro - Oesophageal Reflux Disease - Health Related Quality of Life (GERD-HRQL). The 10 questions were designed to assess GERD specific symptoms prior to (part A) and after surgery (part B). The Velanovich score is 0 if the patient is asymptomatic and 50 if the symptoms are at maximum intensity. Only 32 out of the 54 patients operated during the study filled in the questionnaire:28 patients (87.5%) had hiatus hernia (HH), 16 cases were associated with reflux erosive esophagitis (EE), 4 patients had non-erosive reflux disease (NERD) and one had Barrett's esophagus (BE). We used Toupet partial posterior fund oplication for 12 patients and Nissen total fundoplication for 20 patients. The short gastric vess...
Videosurgery and Other Miniinvasive Techniques, 2015
Introduction: Gastroesophageal reflux disease (GERD) has a negative impact on global quality of life (QOL) of patients. In patients affected by GERD, laparoscopic Nissen fundoplication is one of the most commonly performed laparoscopic procedures worldwide. Aim: To prospectively analyze the dynamics of QOL as well as severity of pain in patients with GERD, before and after laparoscopic floppy Nissen fundoplication. Material and methods: The study involved 104 consecutive patients operated on for GERD in whom laparoscopic floppy Nissen fundoplication was performed. QOL was assessed before surgery and 1, 3, 6, 12 and 24 months after. The following instruments were used: FACIT-G, FACIT-TS-G, GIQLI, GERD symptom scale. Results: It was found that symptom relief and quality of life improvement presented different dynamics in the postoperative course. Observations revealed relief of symptoms 1 month after surgery and improvement in QOL related to the gastrointestinal tract and pain 3 months after surgery. Global QOL increased significantly as late as 12 months after surgery. Conclusions: Gastroesophageal reflux disease is a chronic disease of long duration, leading to impairment of quality of life. Patients, apart from typical symptoms of GERD, suffer from pain of significant severity. QOL improves significantly after surgery. Surgical treatment results in relief of GERD symptoms, which leads to gradual improvement of QOL.
The impact of gastroesophageal reflux disease on quality of life
Surgical Endoscopy, 2003
Background: Quality of life as a medical endpoint has become an important measure in clinical research. Methods: In this article, we review the recent literature that has examined the impact of gastroesophageal reflux disease (GERD) and its treatment of quality of life. Results: The increasing interest in measuring patients' quality of life as an outcome reflects an increasing awareness that traditional physiological endpoints often do not correlate well with patients' functional status, general well-being, and satisfaction with therapy. It has been shown that GERD has a significant impact on patients' quality of life; therefore, improvement of quality of life is one of the major goals of GERD treatment. This can be achieved by medical as well as surgical treatment. Conclusion: In addition to the patients' perspective, quality of life is one of the major endpoints in medical research that will help provide more selective treatment regimens for our patients.
The quality of life of gastroesophageal reflux disease patients waiting for an antireflux operation
Surgical Endoscopy, 2004
Background: The purpose of this trial was to measure the health-related quality of life (HRQL) of gastroesophageal reflux disease (GERD) patients waiting for an antireflux operation. Methods: A total of 120 patients waiting for a laparoscopic fundoplication were sent questionnaires measuring their symptoms and quality of life. Results: Ninety-five of the patients still needing an operation returned the questionaires and were included in the analysis. Thirty-one of 84 patients (37%) felt that the symptoms had worsened, and 51/90 (57%) were unsatisfied. Thirty percent suffered from throat or airway infections, 25% from swallowing difficulties, 48% from retrosternal pain, and 18% had asthma. The mean GERD HRQL score (0-45) was 21.7 (95% confidence interval, 19.7-23.7). Short Form-36 scores of this population were significantly worse when compared to patients with inguinal hernia or moderate asthma. Conclusions: Patients waiting for a fundoplication seem to have a significantly decreased health-related quality of life due to poor symptom control regardless of continuous medical treatment.
Quality of Life Research, 2007
Gastro-oesophageal reflux disease (GORD) is responsible for some of the most frequently reported symptoms in both primary and secondary care: between 20-30% of adults in developed countries experience reflux symptoms intermittently 1-3 . Diagnosis is usually based on related symptoms, such as "heartburn", acid regurgitation and dysphagia. The major objectives of treatment are control of symptoms, with reduction in the frequency and duration of reflux and pain, and improvement in health related quality of life (HRQOL).
Open Journal of Gastroenterology
The gastroesophageal reflux disease (GERD) represents a major problem for public health because of its high prevalence. The chronic character of the symptoms can have a very important impact on the quality of life (QoL). The purpose of this study is to assess the impact of the GERD on the quality of life of our patients and to determine the main aggravating factors. Patients and Methods: This is a cross-sectional, observational study of 100 patients presenting signs of GERD in the gastroenterology department of the university medical center Hassan II-Fez, for a period of 3 months (October to December 2014). We used the Reflux-Qual short form (RQS ) to evaluate the QoL of our patients. Results: Over the study period, 100 patients were included. The average age of our patients was 47 years [20-75 years] with a sex-ratio F/M in 2.12. Among our patients, 20% (n = 20) were chronic cigarette smokers. The diagnosis of GERD was clinical in 75% of the cases (n = 75) and based on 24-hour pH monitoring in the remaining 25% (n = 25). Approximately 2/3 of the patients were receiving proton pump inhibitors (PPIs) treatment at the time of the questionnaire. The impairment of QoL was moderated to severe (RQS < 16) for 62% of the patients (n = 62). This impairment was associated with elderly (p = 0.01), female sex (p = 0.03) and the frequency of symptoms (p = 0.001). Moreover, patients having a GERD that requiring a daily and continuous administration of PPIs had a lower index of RQS (p = 0.001). The quality of life impairment was not associated with chronic cigarette smoking (p = 0.3). Conclusion: The impairment of the QoL was moderated to severe (RQS < 16) for 2/3 of the patients (n = 62). This impairment was associated with elderly, female sex, frequency and in case of GERD requiring continuous administration of PPIs.
Correlation between Quality of Life and Gastroesophageal Reflux Disease
2020
Gastroesophageal reflux disease (GERD) is a disease characterized by the rise of stomach acid into the esophagus which leads to heartburn and regurgitation. The prevalence of adult GERD cases worldwide is 11-38.8%. This study aimed to determine the correlation between GERD and quality of life among patients affected by this disease. This was a cross-sectional study conducted on 92 GERD patients in Atma Jaya Hospital, Jakarta, Indonesia from April 2018 to June 2018. Two questionnaires, GERD-Q and GERD-HRQL were used in this study. A validation of the Indonesian version of the GERD-HRQL questionnaire was performed prior to this study. The Mann Whitney test was used to identify the correlation between GERD and the quality of life in patients with upper gastrointestinal symptoms. This study indicated that the GERD-HRQL questionnaire showed good validity and reliability. Results showed that there was a correlation between GERD and quality of life (p = 0.005) in patients with upper gastro...
Study of Health Related Quality Of Life in Patients with Gastro esophageal Reflux Disease
Background: Gastro esophageal reflux disease (GERD) is a common problem worldwide with a wide range of clinical manifestations and potential complications like esophagitis, ulceration and stricture formation. It is a common disorder associated with substantial reduction in health related quality of life. Objective: To assess the health related quality of life in GERD patients. Methodology: The study was conducted at Gastroenterology department (outpatient and inpatient) of St Joseph General Hospital, Guntur. The study was a prospective interventional observational study conducted over a period of six months from December 2017 till April 2018. Patients satisfying the study criteria were enrolled into the study after obtaining an informed consent. The enrolled patients were interviewed and their medical records were reviewed to record information about their demographic variables, level of education, social habits, diagnosis, current and past medical and medication history. Patients Health Related Quality of life was assessed using SF12 questionnaire at the baseline. The patients were then counseled in a private area to ensure privacy and provided with education about GERD. The patients were followed up for 30 days and their HRQOL was reassessed using SF12 Questionnaire and their scores were calculated and outcome was measured to assess improvement in HRQOL. Results: A total of 80 patients were included in the study. 15 patients (13.07%) were considered as drop outs due to irregularity in follow up. Of the 80 patients who completed the follow up and considered for study, preference existed for the gender and GERD was found to be more prevalent among the males [n=54(67.5%)] then in females [n=26(32.5%)]. In the study it was found that GERD occurred in all age groups with an average age of 44 years. Physical Composite Score (PCS) of the patients were found to be 34.96 and most of the patients distributed in the mean range of 30 to 35 years. In the follow up after providing education for the patient about disease and lifestyle modifications the mean score of the patient increased (46.9). The Mental composite score (MCS) score was also found to be higher compared to baseline among the patients after counseling (from 40.5 to 53). Conclusion: This study has helped to identify and track unmet health needs and disparities. The complete resolution of symptoms were not observed since the patients were followed up for only 4 weeks but improvement in their quality of life were seen. This study concludes that improving patient knowledge about GERD by providing patient education can improve their overall health related quality of life.