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

2021 ◽  
Vol 10 (24) ◽  
pp. 5924
Author(s):  
Natalia Dowgiałło-Gornowicz ◽  
Justyna Kacperczyk ◽  
Anna Masiewicz ◽  
Paweł Lech ◽  
Sławomir Saluk ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Negative Impact ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Definitive Treatment ◽  
Impact Scale ◽  
Single Center Study ◽  
High Prevalence ◽  
Laparoscopic Nissen

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%.

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.

The effects of laparoscopic Nissen fundoplication on Barrett's esophagus: Long-term results

2011 ◽  
Vol 47 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Zsolt Simonka ◽  
Attila Paszt ◽  
Szabolcs Ábrahám ◽  
József Pieler ◽  
János Tajti ◽  
...  
Keyword(s):  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Long Term Results ◽  
Laparoscopic Nissen

Laparoscopic Nissen Fundoplication in a Community Hospital: Patient Satisfaction Survey

2005 ◽  
Vol 98 (4) ◽  
pp. 441-443 ◽  
Author(s):  
Leslie E. Tucker ◽  
Carl Blatt ◽  
Norbert L. Richardson ◽  
Donna T. Richardson ◽  
James D. Cassat ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Community Hospital ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Satisfaction Survey ◽  
Hospital Patient ◽  
Patient Satisfaction Survey ◽  
Laparoscopic Nissen

Ten-Year Follow up after Laparoscopic Nissen Fundoplication for Gastroesophageal Reflux Disease

2007 ◽  
Vol 73 (8) ◽  
pp. 748-753 ◽  
Author(s):  
Sarah M. Cowgill ◽  
Rachel Gillman ◽  
Emily Kraemer ◽  
Sam Al-Saadi ◽  
Desiree Villadolid ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Gastroesophageal Reflux Disease ◽  
Reflux Disease ◽  
Laparoscopic Fundoplication ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Initial Experience ◽  
Laparoscopic Nissen

Laparoscopic Nissen fundoplication was first undertaken in the early 1990s. Appreciable numbers of patients with 10-year follow up are only now available. This study assesses long-term outcome and durability of outcome after laparoscopic Nissen fundoplication for treatment of gastro-esophageal reflux disease. Since 1991, 829 patients have undergone laparoscopic fundoplications and are prospectively followed. Two hundred thirty-nine patients, 44 per cent male, with a median age of 53 years (± 15 standard deviation) underwent laparoscopic Nissen fundoplications at least 10 years ago; 28 (12%) patients were “redo” fundoplications. Before and after fundoplication, among many symptoms, patients scored the frequency and severity of dysphagia, chest pain, vomiting, regurgitation, choking, and heartburn using a Likert scale (0 = never/not bothersome to 10 = always/very bothersome). Symptom scores before versus after fundoplication were compared using a Wilcoxon matched-pairs test. Data are reported as median, mean ± standard deviation, when appropriate. After fundoplication, length of stay was 2 days, 3 days ± 4.8. Intra-operative inadvertent events were uncommon and without sequela: 1 esophagotomy, 1 gastrotomy, 3 cardiac dysrhythmias, and 3 CO2 pneumothoraces. Complications after fundoplication included: 1 postpneumonic empyema, 3 urinary retentions, 2 superficial wound infections, 1 urinary tract infection, 1 ileus, and 1 intraabdominal abscess. There were two perioperative deaths; 88 per cent of the patients are still alive. After laparoscopic Nissen fundoplication, frequency and severity scores dramatically improved for all symptoms queried (P < 0.001), especially for heartburn frequency (8, 8 ± 3.2 versus 2, 3 ± 2.8, P < 0.001) and severity (10, 8 ± 2.9 versus 1, 2 ± 2.5, P < 0.001). Eighty per cent of patients rate their symptoms as almost completely resolved or greatly improved, and 85 per cent note they would again have the laparoscopic fundoplication as a result of analysis of our initial experience, thereby promoting superior outcomes in the future. Nonetheless, follow up at 10 years and beyond of our initial experience documents that laparoscopic fundoplication durably provides high patient satisfaction resulting from long-term amelioration of the frequency and severity of symptoms of gastroesophageal reflux disease. These results promote further application of laparoscopic Nissen fundoplication.

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