BACKGROUND: We investigated which factors are significantly associated with long-term quality of life after laparoscopic total fundoplication in the treatment of gastroesophageal reflux disease. METHODS: Patients (n = 144) were given a standardized frequency-intensity symptoms questionnaire and the Short-Form 36 Health Survey for quality-of-life evaluation before and after laparoscopic total fundoplication. RESULTS: At follow-up evaluation (n = 102), patients had a significant reduction in their symptoms score and no deterioration in quality of life. A significant association with postoperative dysphagia for solids and/or liquids was found in the physical component summary score of the Short-Form 36 administered to patients postoperatively (P = .003). CONCLUSIONS: In this study, laparoscopic total fundoplication was a safe and effective surgical treatment for gastroesophageal reflux disease, generally offering an improved long-term quality of life, with the exception of a minority of patients (6 of 102 patients; 5.8%) who experienced persistent severe dysphagia.
BACKGROUND: We investigated which factors are significantly associated with long-term quality of life after laparoscopic total fundoplication in the treatment of gastroesophageal reflux disease. METHODS:Patients (n = 144) were given a standardized frequency-intensity symptoms questionnaire and the Short-Form 36 Health Survey for quality-of-life evaluation before and after laparoscopic total fundoplication. RESULTS: At follow-up evaluation (n = 102), patients had a significant reduction in their symptoms score and no deterioration in quality of life. A significant association with postoperative dysphagia for solids and/or liquids was found in the physical component summary score of the Short-Form 36 administered to patients postoperatively (P = .003). CONCLUSIONS: In this study, laparoscopic total fundoplication was a safe and effective surgical treatment for gastroesophageal reflux disease, generally offering an improved long-term quality of life, with the exception of a minority of patients (6 of 102 patients; 5.8%) who experienced persistent severe dysphagia.
Authors: Salvatore Tolone; Paolo Limongelli; Marco Romano; Alessandro Federico; Giovanni Docimo; Roberto Ruggiero; Luigi Brusciano; Gianmattia Del Genio; Ludovico Docimo Journal: Surg Endosc Date: 2014-07-17 Impact factor: 4.584
Authors: Katarzyna Blazejczyk; Andreas Hoene; Anne Glitsch; Alexandra Busemann; Claus Dieter Heidecke; Maciej Patrzyk Journal: Langenbecks Arch Surg Date: 2013-09-15 Impact factor: 3.445
Authors: Gianmattia Del Genio; Salvatore Tolone; Paolo Limongelli; Luigi Brusciano; Antonio D'Alessandro; Giovanni Docimo; Gianluca Rossetti; Gianfranco Silecchia; Antonio Iannelli; Alberto del Genio; Federica del Genio; Ludovico Docimo Journal: Obes Surg Date: 2014-01 Impact factor: 4.129