Long-term outcomes of patient satisfaction after laparoscopic Nissen fundoplication
EAES Academy. Dowgiałło-Gornowicz N. 07/05/22; 363179; P224
Dr. Natalia Dowgiałło-Gornowicz
Contributions
Contributions
Abstract
AIM:
Up to 33% of population suffers from gastroesophageal reflux disease (GERD), which has negative impact on quality of life. This study aims to assess long-term patient satisfaction after laparoscopic Nissen fundoplication (LNF).
Methods:
We reviewed the prospectively collected data of patients who underwent LNF for GERD in Department of General, Minimally Invasive and Elderly Surgery in Olsztyn in 2014-2018. Postoperative survey consisted two “yes or no” questions to assess satisfaction with the outcome.
Results:
111 patients (49 female, 62 male) were analyzed in the study. All patients underwent LNF in 2014-2018 by the same team of surgeons. The mean age was 50.2 years (18-80 years, ±15 years) and the mean body mass index was 25.9 kg/m2 (17.7-35.6 kg/m2 ±3.5 kg/m2). Tthe means follow-up time was 50 months (21.2-76.3 ± 16.6 months).
The first question was if the patients recommend LNF to their relatives.. 87 of them (78.4%) would recommend surgery. The second question was whether, with the knowledge they have now, they would undergo surgery again. 17 patients (15.3%) would not undergo LNF again. Patients without recurrence of symptoms and without the need for chronic PPIs use after surgery were significantly more likely to undergo the surgery again or recommend surgery to their relatives (p<001). All 17 patients who would not recommend LNF to their relatives or undergo LNF again were identified as dissatisfied and asked for their rationale. Two of them, after early stenosis, were not satisfied with the need for reoperation. 12 had recurrence of symptoms or needed PPIs and did not think about the surgery as a cure. Three patients, despite their symptom relief, would not wish to undergo perioperative stress again.
Conclusion:
LNF is a good treatment for GERD with a satisfaction rate of 78.4%.
Up to 33% of population suffers from gastroesophageal reflux disease (GERD), which has negative impact on quality of life. This study aims to assess long-term patient satisfaction after laparoscopic Nissen fundoplication (LNF).
Methods:
We reviewed the prospectively collected data of patients who underwent LNF for GERD in Department of General, Minimally Invasive and Elderly Surgery in Olsztyn in 2014-2018. Postoperative survey consisted two “yes or no” questions to assess satisfaction with the outcome.
Results:
111 patients (49 female, 62 male) were analyzed in the study. All patients underwent LNF in 2014-2018 by the same team of surgeons. The mean age was 50.2 years (18-80 years, ±15 years) and the mean body mass index was 25.9 kg/m2 (17.7-35.6 kg/m2 ±3.5 kg/m2). Tthe means follow-up time was 50 months (21.2-76.3 ± 16.6 months).
The first question was if the patients recommend LNF to their relatives.. 87 of them (78.4%) would recommend surgery. The second question was whether, with the knowledge they have now, they would undergo surgery again. 17 patients (15.3%) would not undergo LNF again. Patients without recurrence of symptoms and without the need for chronic PPIs use after surgery were significantly more likely to undergo the surgery again or recommend surgery to their relatives (p<001). All 17 patients who would not recommend LNF to their relatives or undergo LNF again were identified as dissatisfied and asked for their rationale. Two of them, after early stenosis, were not satisfied with the need for reoperation. 12 had recurrence of symptoms or needed PPIs and did not think about the surgery as a cure. Three patients, despite their symptom relief, would not wish to undergo perioperative stress again.
Conclusion:
LNF is a good treatment for GERD with a satisfaction rate of 78.4%.
AIM:
Up to 33% of population suffers from gastroesophageal reflux disease (GERD), which has negative impact on quality of life. This study aims to assess long-term patient satisfaction after laparoscopic Nissen fundoplication (LNF).
Methods:
We reviewed the prospectively collected data of patients who underwent LNF for GERD in Department of General, Minimally Invasive and Elderly Surgery in Olsztyn in 2014-2018. Postoperative survey consisted two “yes or no” questions to assess satisfaction with the outcome.
Results:
111 patients (49 female, 62 male) were analyzed in the study. All patients underwent LNF in 2014-2018 by the same team of surgeons. The mean age was 50.2 years (18-80 years, ±15 years) and the mean body mass index was 25.9 kg/m2 (17.7-35.6 kg/m2 ±3.5 kg/m2). Tthe means follow-up time was 50 months (21.2-76.3 ± 16.6 months).
The first question was if the patients recommend LNF to their relatives.. 87 of them (78.4%) would recommend surgery. The second question was whether, with the knowledge they have now, they would undergo surgery again. 17 patients (15.3%) would not undergo LNF again. Patients without recurrence of symptoms and without the need for chronic PPIs use after surgery were significantly more likely to undergo the surgery again or recommend surgery to their relatives (p<001). All 17 patients who would not recommend LNF to their relatives or undergo LNF again were identified as dissatisfied and asked for their rationale. Two of them, after early stenosis, were not satisfied with the need for reoperation. 12 had recurrence of symptoms or needed PPIs and did not think about the surgery as a cure. Three patients, despite their symptom relief, would not wish to undergo perioperative stress again.
Conclusion:
LNF is a good treatment for GERD with a satisfaction rate of 78.4%.
Up to 33% of population suffers from gastroesophageal reflux disease (GERD), which has negative impact on quality of life. This study aims to assess long-term patient satisfaction after laparoscopic Nissen fundoplication (LNF).
Methods:
We reviewed the prospectively collected data of patients who underwent LNF for GERD in Department of General, Minimally Invasive and Elderly Surgery in Olsztyn in 2014-2018. Postoperative survey consisted two “yes or no” questions to assess satisfaction with the outcome.
Results:
111 patients (49 female, 62 male) were analyzed in the study. All patients underwent LNF in 2014-2018 by the same team of surgeons. The mean age was 50.2 years (18-80 years, ±15 years) and the mean body mass index was 25.9 kg/m2 (17.7-35.6 kg/m2 ±3.5 kg/m2). Tthe means follow-up time was 50 months (21.2-76.3 ± 16.6 months).
The first question was if the patients recommend LNF to their relatives.. 87 of them (78.4%) would recommend surgery. The second question was whether, with the knowledge they have now, they would undergo surgery again. 17 patients (15.3%) would not undergo LNF again. Patients without recurrence of symptoms and without the need for chronic PPIs use after surgery were significantly more likely to undergo the surgery again or recommend surgery to their relatives (p<001). All 17 patients who would not recommend LNF to their relatives or undergo LNF again were identified as dissatisfied and asked for their rationale. Two of them, after early stenosis, were not satisfied with the need for reoperation. 12 had recurrence of symptoms or needed PPIs and did not think about the surgery as a cure. Three patients, despite their symptom relief, would not wish to undergo perioperative stress again.
Conclusion:
LNF is a good treatment for GERD with a satisfaction rate of 78.4%.
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