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Patient Satisfaction after Laparoscopic Nissen Fundoplication—Long-Term Outcomes of Single-Center Study

Up to 33% of the population suffers from gastroesophageal reflux disease (GERD). Given its high prevalence, the negative impact on quality of life, and the possible progression to esophageal cancer, the definitive treatment of GERD should be used more frequently. This study aims to assess long-term...

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Autores principales: Dowgiałło-Gornowicz, Natalia, Kacperczyk, Justyna, Masiewicz, Anna, Lech, Paweł, Saluk, Sławomir, Osowiecka, Karolina, Michalik, Maciej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8707538/
https://www.ncbi.nlm.nih.gov/pubmed/34945219
http://dx.doi.org/10.3390/jcm10245924
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author Dowgiałło-Gornowicz, Natalia
Kacperczyk, Justyna
Masiewicz, Anna
Lech, Paweł
Saluk, Sławomir
Osowiecka, Karolina
Michalik, Maciej
author_facet Dowgiałło-Gornowicz, Natalia
Kacperczyk, Justyna
Masiewicz, Anna
Lech, Paweł
Saluk, Sławomir
Osowiecka, Karolina
Michalik, Maciej
author_sort Dowgiałło-Gornowicz, Natalia
collection PubMed
description Up to 33% of the population suffers from gastroesophageal reflux disease (GERD). Given its high prevalence, the negative impact on quality of life, and the possible progression to esophageal cancer, the definitive treatment of GERD should be used more frequently. This study aims to assess long-term patient satisfaction after laparoscopic Nissen fundoplication (LNF). We reviewed the prospectively collected data of patients who underwent LNF for GERD in our department in 2014–2018. Each patient completed a preoperative questionnaire according to GERD Impact Scale (GERD-IS). Postoperative survey consisted of GERD-IS, the need for PPIs, and two “yes or no” questions to assess satisfaction with the outcome. The mean follow-up time was 50 months (21.2–76.3 ± 16.6 months). There was a statistically significant improvement in each GERD-IS question (p < 0.001). A total of 87 patients (78.4%) would recommend the surgery to their relatives. Patients without symptom recurrence and without the need for chronic PPI use after surgery were significantly more likely to recommend surgery and to undergo the procedure again (p < 001). The age of patients did not influence patients’ recommendations (p = 0.75). A total of 17 patients (15.3%) would not undergo LNF again. There was no significant correlation between the answer and patient’s complications or age (p > 0.05). LNF is a good treatment for GERD with a satisfaction rate of 78.4%.
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spelling pubmed-87075382021-12-25 Patient Satisfaction after Laparoscopic Nissen Fundoplication—Long-Term Outcomes of Single-Center Study Dowgiałło-Gornowicz, Natalia Kacperczyk, Justyna Masiewicz, Anna Lech, Paweł Saluk, Sławomir Osowiecka, Karolina Michalik, Maciej J Clin Med Article Up to 33% of the population suffers from gastroesophageal reflux disease (GERD). Given its high prevalence, the negative impact on quality of life, and the possible progression to esophageal cancer, the definitive treatment of GERD should be used more frequently. This study aims to assess long-term patient satisfaction after laparoscopic Nissen fundoplication (LNF). We reviewed the prospectively collected data of patients who underwent LNF for GERD in our department in 2014–2018. Each patient completed a preoperative questionnaire according to GERD Impact Scale (GERD-IS). Postoperative survey consisted of GERD-IS, the need for PPIs, and two “yes or no” questions to assess satisfaction with the outcome. The mean follow-up time was 50 months (21.2–76.3 ± 16.6 months). There was a statistically significant improvement in each GERD-IS question (p < 0.001). A total of 87 patients (78.4%) would recommend the surgery to their relatives. Patients without symptom recurrence and without the need for chronic PPI use after surgery were significantly more likely to recommend surgery and to undergo the procedure again (p < 001). The age of patients did not influence patients’ recommendations (p = 0.75). A total of 17 patients (15.3%) would not undergo LNF again. There was no significant correlation between the answer and patient’s complications or age (p > 0.05). LNF is a good treatment for GERD with a satisfaction rate of 78.4%. MDPI 2021-12-17 /pmc/articles/PMC8707538/ /pubmed/34945219 http://dx.doi.org/10.3390/jcm10245924 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dowgiałło-Gornowicz, Natalia
Kacperczyk, Justyna
Masiewicz, Anna
Lech, Paweł
Saluk, Sławomir
Osowiecka, Karolina
Michalik, Maciej
Patient Satisfaction after Laparoscopic Nissen Fundoplication—Long-Term Outcomes of Single-Center Study
title Patient Satisfaction after Laparoscopic Nissen Fundoplication—Long-Term Outcomes of Single-Center Study
title_full Patient Satisfaction after Laparoscopic Nissen Fundoplication—Long-Term Outcomes of Single-Center Study
title_fullStr Patient Satisfaction after Laparoscopic Nissen Fundoplication—Long-Term Outcomes of Single-Center Study
title_full_unstemmed Patient Satisfaction after Laparoscopic Nissen Fundoplication—Long-Term Outcomes of Single-Center Study
title_short Patient Satisfaction after Laparoscopic Nissen Fundoplication—Long-Term Outcomes of Single-Center Study
title_sort patient satisfaction after laparoscopic nissen fundoplication—long-term outcomes of single-center study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8707538/
https://www.ncbi.nlm.nih.gov/pubmed/34945219
http://dx.doi.org/10.3390/jcm10245924
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