E Prieto-Díaz-Chávez1, J L Medina-Chávez2, C A Brizuela-Araujo2, M A González-Jiménez2, T E Mellín-Landa2, T S Gómez-García2, J Gutiérrez-Zamora2, B Trujillo-Hernández3, R Millan-Guerrero3, C Vásquez4. 1. Adscrito al Departamento de Cirugía General del Hospital General Zona N.° 1, Instituto Mexicano del Seguro Social, Colima, México. Electronic address: epdch@hotmail.com. 2. Adscrito al Departamento de Cirugía General del Hospital General Zona N.° 1, Instituto Mexicano del Seguro Social, Colima, México. 3. Adscrito a la Unidad de Investigación en Epidemiología Clínica, Hospital General Zona y Medicina Familiar N.° 1, Instituto Mexicano del Seguro Social, Colima, México. 4. Dirección de la Facultad de Medicina y Centro Universitario de Investigaciones Biomédicas, Universidad de Colima, Colima, México.
Abstract
BACKGROUND: Today, antireflux surgery has an established position in the management of gastroesophageal reflux disease. Some case series have shown good short-term results, but there is still little information regarding long-term results. Studies have recently focused on evaluating residual symptomatology and its impact on quality of life. OBJECTIVES: To determine the postoperative quality of life and degree of satisfaction in patients that underwent laparoscopic Nissen fundoplication. PATIENTS AND METHODS: A total of 100 patients (59 women and 41 men) were studied after having undergone laparoscopic Nissen fundoplication. The variables analyzed were level of satisfaction, gastrointestinal quality of life index (GIQLI), residual symptoms, and the Visick scale. RESULTS: No variation was found in relation to sex; 49 men and 51 women participated in the study. The mean age was 49 years. The degree of satisfaction encountered was: satisfactory in 81 patients, moderate in 3, and bad in 2 patients. More than 90% of the patients would undergo the surgery again or recommend it. The Carlsson score showed improvement at the end of the study (p<0.05). In relation to the GIQLI, a median of 100.61 points±21.624 was obtained. Abdominal bloating, regurgitation, and early satiety were the most frequent residual symptoms. The effect on lifestyle measured by the Visick scale was excellent. CONCLUSIONS: The level of satisfaction and quality of life obtained were comparable with reported standards; and the residual symptoms after antireflux surgery were easily controlled.
BACKGROUND: Today, antireflux surgery has an established position in the management of gastroesophageal reflux disease. Some case series have shown good short-term results, but there is still little information regarding long-term results. Studies have recently focused on evaluating residual symptomatology and its impact on quality of life. OBJECTIVES: To determine the postoperative quality of life and degree of satisfaction in patients that underwent laparoscopic Nissen fundoplication. PATIENTS AND METHODS: A total of 100 patients (59 women and 41 men) were studied after having undergone laparoscopic Nissen fundoplication. The variables analyzed were level of satisfaction, gastrointestinal quality of life index (GIQLI), residual symptoms, and the Visick scale. RESULTS: No variation was found in relation to sex; 49 men and 51 women participated in the study. The mean age was 49 years. The degree of satisfaction encountered was: satisfactory in 81 patients, moderate in 3, and bad in 2 patients. More than 90% of the patients would undergo the surgery again or recommend it. The Carlsson score showed improvement at the end of the study (p<0.05). In relation to the GIQLI, a median of 100.61 points±21.624 was obtained. Abdominal bloating, regurgitation, and early satiety were the most frequent residual symptoms. The effect on lifestyle measured by the Visick scale was excellent. CONCLUSIONS: The level of satisfaction and quality of life obtained were comparable with reported standards; and the residual symptoms after antireflux surgery were easily controlled.
Keywords:
Calidad de vida; Funduplicatura de Nissen; Grado de satisfacción; Laparoscopia; Laparoscopy; Mexico; México; Nissen fundoplication; Patient satisfaction; Quality of life