Laparoscopic Nissen fundoplication for the treatment of gastroesophageal reflux disease (GERD)

1998 ◽  
Vol 12 (9) ◽  
pp. 1159-1163 ◽  
Author(s):  
D. L. van der Peet ◽  
E. C. Klinkenberg-Knol ◽  
Q. A. J. Eijsbouts ◽  
M. van den Berg ◽  
L. M. de Brauw ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Laparoscopic Nissen

Laparoscopic Nissen fundoplication offers High Patient Satisfaction with Relief of Extraesophageal Symptoms of Gastroesophageal Reflux Disease

2006 ◽  
Vol 72 (3) ◽  
pp. 207-212 ◽  
Author(s):  
Steven Rakita ◽  
Desiree Villadolid ◽  
Ashley Thomas ◽  
Mark Bloomston ◽  
Michael Albrink ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Esophageal Injury ◽  
High Patient Satisfaction ◽  
Extraesophageal Symptoms ◽  
Laparoscopic Nissen

Nissen fundoplication is applied for patients with gastroesophageal reflux disease (GERD), usually because of symptoms of esophageal injury. When presenting symptoms are extraesophageal, there is less enthusiasm for operative control of reflux because of concerns of etiology and efficacy. This study was undertaken to evaluate the efficacy of laparoscopic Nissen fundoplication in palliating extraesophageal symptoms of GERD. Patients were asked to score their symptoms before and after laparoscopic Nissen fundoplication on a Likert scale (0 = never/none to 5 = always/every time I eat). A total of 322 patients with extraesophageal symptoms (asthma, cough, gas/bloat, chest pain, and odynophagia) of 4 to 5 were identified and analyzed. After fundoplication, all extraesophageal symptom scores improved (P < 0.0001 for all, Wilcoxon matched-pairs test). Likewise, postoperative symptoms were noted to be greatly improved or resolved in 67 per cent to 82 per cent of patients for each symptom. Furthermore, after fundoplication, patients were less likely to modify their dietary (82% vs 49%) or sleeping habits (70% vs 28%) to avoid initiating/exacerbating symptoms. Although extraesophageal symptoms are conventionally thought to be inadequately palliated by surgery, this study documents excellent relief of extraesophageal symptoms after laparoscopic Nissen fundoplication, denotes high patient satisfaction, and encourages application of laparoscopic Nissen fundoplication.

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