Quality of Life, Surgical Outcome, and Patient Satisfaction Three Years after Laparoscopic Nissen Fundoplication
Quality of life data and patient satisfaction are important issues in estimating the outcome of laparoscopic antireflux surgery (LARS). Long-term of quality of life assessment has not yet received wide attention. The aim of this prospective study was to evaluate surgical outcome, including quality o...
Ausführliche Beschreibung
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| Autor*in: |
Granderath, Frank A. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2002 |
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| Schlagwörter: |
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| Anmerkung: |
© 2002 by the Société Internationale de Chirurgie 2002 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 26(2002), 10 vom: 01. Okt., Seite 1234-1238 |
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| Übergeordnetes Werk: |
volume:26 ; year:2002 ; number:10 ; day:01 ; month:10 ; pages:1234-1238 |
| Links: |
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| DOI / URN: |
10.1007/s00268-002-6416-3 |
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SPR003397351 |
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| 520 | |a Quality of life data and patient satisfaction are important issues in estimating the outcome of laparoscopic antireflux surgery (LARS). Long-term of quality of life assessment has not yet received wide attention. The aim of this prospective study was to evaluate surgical outcome, including quality of life and patient satisfaction, after laparoscopic "floppy" Nissen fundoplication up to 3 years after surgery. Between 1994 and 1996, a total of 150 consecutive patients with severe gastroesophageal reflux disease underwent laparoscopic "floppy" Nissen fundoplication. Quality of life was evaluated using the Gastrointestinal Quality of Life Index (GIQLI). The GIQLI questionnaire was given to the patients prior to surgery, and again 3 months, 1 year, and 3 years postoperatively. In addition, 24-hour pH monitoring and esophageal manometry were performed preoperatively and at each follow-up date. Finally, surgical side-effects and patient satisfaction with the surgical outcome were evaluated 3 years after LARS. Postoperatively lower esophageal sphincter pressure improved significantly in all patients, whereas pH values showed normal data in all but 5 patients. Before surgery, all patients had a poor quality of life (GIQLI score, 90.1 ± 8.9 points). Postoperatively, GIQLI improved significantly (p <.01) and remained stable for at least 3 years, with a mean value of 123.7 ± 9.8 points. This is comparable to 122.6 ± 8.5 points of healthy individuals. Ninety-eight percent of the patients rated their satisfaction with surgical treatment as excellent or good and would undergo surgery again if necessary. Nine patients suffered from minimal surgical side-effects, but these did not significantly impair their quality of life. Laparoscopic reoperation was performed in 2 patients 3 months after initial surgery because of severe dysphagia. Both patients were free of symptoms 3 years after surgery. The efficacy and long-term outcome of treatment of gastroesophageal reflux disease with laparoscopic "floppy" Nissen fundoplication can be evaluated by objective testing, but also with subjective judgment of the patient, including quality of life assessment. | ||
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10.1007/s00268-002-6416-3 doi (DE-627)SPR003397351 (SPR)s00268-002-6416-3-e DE-627 ger DE-627 rakwb eng Granderath, Frank A. verfasserin aut Quality of Life, Surgical Outcome, and Patient Satisfaction Three Years after Laparoscopic Nissen Fundoplication 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © 2002 by the Société Internationale de Chirurgie 2002 Quality of life data and patient satisfaction are important issues in estimating the outcome of laparoscopic antireflux surgery (LARS). Long-term of quality of life assessment has not yet received wide attention. The aim of this prospective study was to evaluate surgical outcome, including quality of life and patient satisfaction, after laparoscopic "floppy" Nissen fundoplication up to 3 years after surgery. Between 1994 and 1996, a total of 150 consecutive patients with severe gastroesophageal reflux disease underwent laparoscopic "floppy" Nissen fundoplication. Quality of life was evaluated using the Gastrointestinal Quality of Life Index (GIQLI). The GIQLI questionnaire was given to the patients prior to surgery, and again 3 months, 1 year, and 3 years postoperatively. In addition, 24-hour pH monitoring and esophageal manometry were performed preoperatively and at each follow-up date. Finally, surgical side-effects and patient satisfaction with the surgical outcome were evaluated 3 years after LARS. Postoperatively lower esophageal sphincter pressure improved significantly in all patients, whereas pH values showed normal data in all but 5 patients. Before surgery, all patients had a poor quality of life (GIQLI score, 90.1 ± 8.9 points). Postoperatively, GIQLI improved significantly (p <.01) and remained stable for at least 3 years, with a mean value of 123.7 ± 9.8 points. This is comparable to 122.6 ± 8.5 points of healthy individuals. Ninety-eight percent of the patients rated their satisfaction with surgical treatment as excellent or good and would undergo surgery again if necessary. Nine patients suffered from minimal surgical side-effects, but these did not significantly impair their quality of life. Laparoscopic reoperation was performed in 2 patients 3 months after initial surgery because of severe dysphagia. Both patients were free of symptoms 3 years after surgery. The efficacy and long-term outcome of treatment of gastroesophageal reflux disease with laparoscopic "floppy" Nissen fundoplication can be evaluated by objective testing, but also with subjective judgment of the patient, including quality of life assessment. Patient Satisfaction (dpeaa)DE-He213 Lower Esophageal Sphincter (dpeaa)DE-He213 GERD Symptom (dpeaa)DE-He213 Esophageal Manometry (dpeaa)DE-He213 Lower Esophageal Sphincter Pressure (dpeaa)DE-He213 Kamolz, Thomas aut Schweiger, Ursula M. aut Pointner, Rudolph aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 26(2002), 10 vom: 01. Okt., Seite 1234-1238 (DE-627)SPR003391159 nnns volume:26 year:2002 number:10 day:01 month:10 pages:1234-1238 https://dx.doi.org/10.1007/s00268-002-6416-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 26 2002 10 01 10 1234-1238 |
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10.1007/s00268-002-6416-3 doi (DE-627)SPR003397351 (SPR)s00268-002-6416-3-e DE-627 ger DE-627 rakwb eng Granderath, Frank A. verfasserin aut Quality of Life, Surgical Outcome, and Patient Satisfaction Three Years after Laparoscopic Nissen Fundoplication 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © 2002 by the Société Internationale de Chirurgie 2002 Quality of life data and patient satisfaction are important issues in estimating the outcome of laparoscopic antireflux surgery (LARS). Long-term of quality of life assessment has not yet received wide attention. The aim of this prospective study was to evaluate surgical outcome, including quality of life and patient satisfaction, after laparoscopic "floppy" Nissen fundoplication up to 3 years after surgery. Between 1994 and 1996, a total of 150 consecutive patients with severe gastroesophageal reflux disease underwent laparoscopic "floppy" Nissen fundoplication. Quality of life was evaluated using the Gastrointestinal Quality of Life Index (GIQLI). The GIQLI questionnaire was given to the patients prior to surgery, and again 3 months, 1 year, and 3 years postoperatively. In addition, 24-hour pH monitoring and esophageal manometry were performed preoperatively and at each follow-up date. Finally, surgical side-effects and patient satisfaction with the surgical outcome were evaluated 3 years after LARS. Postoperatively lower esophageal sphincter pressure improved significantly in all patients, whereas pH values showed normal data in all but 5 patients. Before surgery, all patients had a poor quality of life (GIQLI score, 90.1 ± 8.9 points). Postoperatively, GIQLI improved significantly (p <.01) and remained stable for at least 3 years, with a mean value of 123.7 ± 9.8 points. This is comparable to 122.6 ± 8.5 points of healthy individuals. Ninety-eight percent of the patients rated their satisfaction with surgical treatment as excellent or good and would undergo surgery again if necessary. Nine patients suffered from minimal surgical side-effects, but these did not significantly impair their quality of life. Laparoscopic reoperation was performed in 2 patients 3 months after initial surgery because of severe dysphagia. Both patients were free of symptoms 3 years after surgery. The efficacy and long-term outcome of treatment of gastroesophageal reflux disease with laparoscopic "floppy" Nissen fundoplication can be evaluated by objective testing, but also with subjective judgment of the patient, including quality of life assessment. Patient Satisfaction (dpeaa)DE-He213 Lower Esophageal Sphincter (dpeaa)DE-He213 GERD Symptom (dpeaa)DE-He213 Esophageal Manometry (dpeaa)DE-He213 Lower Esophageal Sphincter Pressure (dpeaa)DE-He213 Kamolz, Thomas aut Schweiger, Ursula M. aut Pointner, Rudolph aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 26(2002), 10 vom: 01. Okt., Seite 1234-1238 (DE-627)SPR003391159 nnns volume:26 year:2002 number:10 day:01 month:10 pages:1234-1238 https://dx.doi.org/10.1007/s00268-002-6416-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 26 2002 10 01 10 1234-1238 |
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10.1007/s00268-002-6416-3 doi (DE-627)SPR003397351 (SPR)s00268-002-6416-3-e DE-627 ger DE-627 rakwb eng Granderath, Frank A. verfasserin aut Quality of Life, Surgical Outcome, and Patient Satisfaction Three Years after Laparoscopic Nissen Fundoplication 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © 2002 by the Société Internationale de Chirurgie 2002 Quality of life data and patient satisfaction are important issues in estimating the outcome of laparoscopic antireflux surgery (LARS). Long-term of quality of life assessment has not yet received wide attention. The aim of this prospective study was to evaluate surgical outcome, including quality of life and patient satisfaction, after laparoscopic "floppy" Nissen fundoplication up to 3 years after surgery. Between 1994 and 1996, a total of 150 consecutive patients with severe gastroesophageal reflux disease underwent laparoscopic "floppy" Nissen fundoplication. Quality of life was evaluated using the Gastrointestinal Quality of Life Index (GIQLI). The GIQLI questionnaire was given to the patients prior to surgery, and again 3 months, 1 year, and 3 years postoperatively. In addition, 24-hour pH monitoring and esophageal manometry were performed preoperatively and at each follow-up date. Finally, surgical side-effects and patient satisfaction with the surgical outcome were evaluated 3 years after LARS. Postoperatively lower esophageal sphincter pressure improved significantly in all patients, whereas pH values showed normal data in all but 5 patients. Before surgery, all patients had a poor quality of life (GIQLI score, 90.1 ± 8.9 points). Postoperatively, GIQLI improved significantly (p <.01) and remained stable for at least 3 years, with a mean value of 123.7 ± 9.8 points. This is comparable to 122.6 ± 8.5 points of healthy individuals. Ninety-eight percent of the patients rated their satisfaction with surgical treatment as excellent or good and would undergo surgery again if necessary. Nine patients suffered from minimal surgical side-effects, but these did not significantly impair their quality of life. Laparoscopic reoperation was performed in 2 patients 3 months after initial surgery because of severe dysphagia. Both patients were free of symptoms 3 years after surgery. The efficacy and long-term outcome of treatment of gastroesophageal reflux disease with laparoscopic "floppy" Nissen fundoplication can be evaluated by objective testing, but also with subjective judgment of the patient, including quality of life assessment. Patient Satisfaction (dpeaa)DE-He213 Lower Esophageal Sphincter (dpeaa)DE-He213 GERD Symptom (dpeaa)DE-He213 Esophageal Manometry (dpeaa)DE-He213 Lower Esophageal Sphincter Pressure (dpeaa)DE-He213 Kamolz, Thomas aut Schweiger, Ursula M. aut Pointner, Rudolph aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 26(2002), 10 vom: 01. Okt., Seite 1234-1238 (DE-627)SPR003391159 nnns volume:26 year:2002 number:10 day:01 month:10 pages:1234-1238 https://dx.doi.org/10.1007/s00268-002-6416-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 26 2002 10 01 10 1234-1238 |
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10.1007/s00268-002-6416-3 doi (DE-627)SPR003397351 (SPR)s00268-002-6416-3-e DE-627 ger DE-627 rakwb eng Granderath, Frank A. verfasserin aut Quality of Life, Surgical Outcome, and Patient Satisfaction Three Years after Laparoscopic Nissen Fundoplication 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © 2002 by the Société Internationale de Chirurgie 2002 Quality of life data and patient satisfaction are important issues in estimating the outcome of laparoscopic antireflux surgery (LARS). Long-term of quality of life assessment has not yet received wide attention. The aim of this prospective study was to evaluate surgical outcome, including quality of life and patient satisfaction, after laparoscopic "floppy" Nissen fundoplication up to 3 years after surgery. Between 1994 and 1996, a total of 150 consecutive patients with severe gastroesophageal reflux disease underwent laparoscopic "floppy" Nissen fundoplication. Quality of life was evaluated using the Gastrointestinal Quality of Life Index (GIQLI). The GIQLI questionnaire was given to the patients prior to surgery, and again 3 months, 1 year, and 3 years postoperatively. In addition, 24-hour pH monitoring and esophageal manometry were performed preoperatively and at each follow-up date. Finally, surgical side-effects and patient satisfaction with the surgical outcome were evaluated 3 years after LARS. Postoperatively lower esophageal sphincter pressure improved significantly in all patients, whereas pH values showed normal data in all but 5 patients. Before surgery, all patients had a poor quality of life (GIQLI score, 90.1 ± 8.9 points). Postoperatively, GIQLI improved significantly (p <.01) and remained stable for at least 3 years, with a mean value of 123.7 ± 9.8 points. This is comparable to 122.6 ± 8.5 points of healthy individuals. Ninety-eight percent of the patients rated their satisfaction with surgical treatment as excellent or good and would undergo surgery again if necessary. Nine patients suffered from minimal surgical side-effects, but these did not significantly impair their quality of life. Laparoscopic reoperation was performed in 2 patients 3 months after initial surgery because of severe dysphagia. Both patients were free of symptoms 3 years after surgery. The efficacy and long-term outcome of treatment of gastroesophageal reflux disease with laparoscopic "floppy" Nissen fundoplication can be evaluated by objective testing, but also with subjective judgment of the patient, including quality of life assessment. Patient Satisfaction (dpeaa)DE-He213 Lower Esophageal Sphincter (dpeaa)DE-He213 GERD Symptom (dpeaa)DE-He213 Esophageal Manometry (dpeaa)DE-He213 Lower Esophageal Sphincter Pressure (dpeaa)DE-He213 Kamolz, Thomas aut Schweiger, Ursula M. aut Pointner, Rudolph aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 26(2002), 10 vom: 01. Okt., Seite 1234-1238 (DE-627)SPR003391159 nnns volume:26 year:2002 number:10 day:01 month:10 pages:1234-1238 https://dx.doi.org/10.1007/s00268-002-6416-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 26 2002 10 01 10 1234-1238 |
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10.1007/s00268-002-6416-3 doi (DE-627)SPR003397351 (SPR)s00268-002-6416-3-e DE-627 ger DE-627 rakwb eng Granderath, Frank A. verfasserin aut Quality of Life, Surgical Outcome, and Patient Satisfaction Three Years after Laparoscopic Nissen Fundoplication 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © 2002 by the Société Internationale de Chirurgie 2002 Quality of life data and patient satisfaction are important issues in estimating the outcome of laparoscopic antireflux surgery (LARS). Long-term of quality of life assessment has not yet received wide attention. The aim of this prospective study was to evaluate surgical outcome, including quality of life and patient satisfaction, after laparoscopic "floppy" Nissen fundoplication up to 3 years after surgery. Between 1994 and 1996, a total of 150 consecutive patients with severe gastroesophageal reflux disease underwent laparoscopic "floppy" Nissen fundoplication. Quality of life was evaluated using the Gastrointestinal Quality of Life Index (GIQLI). The GIQLI questionnaire was given to the patients prior to surgery, and again 3 months, 1 year, and 3 years postoperatively. In addition, 24-hour pH monitoring and esophageal manometry were performed preoperatively and at each follow-up date. Finally, surgical side-effects and patient satisfaction with the surgical outcome were evaluated 3 years after LARS. Postoperatively lower esophageal sphincter pressure improved significantly in all patients, whereas pH values showed normal data in all but 5 patients. Before surgery, all patients had a poor quality of life (GIQLI score, 90.1 ± 8.9 points). Postoperatively, GIQLI improved significantly (p <.01) and remained stable for at least 3 years, with a mean value of 123.7 ± 9.8 points. This is comparable to 122.6 ± 8.5 points of healthy individuals. Ninety-eight percent of the patients rated their satisfaction with surgical treatment as excellent or good and would undergo surgery again if necessary. Nine patients suffered from minimal surgical side-effects, but these did not significantly impair their quality of life. Laparoscopic reoperation was performed in 2 patients 3 months after initial surgery because of severe dysphagia. Both patients were free of symptoms 3 years after surgery. The efficacy and long-term outcome of treatment of gastroesophageal reflux disease with laparoscopic "floppy" Nissen fundoplication can be evaluated by objective testing, but also with subjective judgment of the patient, including quality of life assessment. Patient Satisfaction (dpeaa)DE-He213 Lower Esophageal Sphincter (dpeaa)DE-He213 GERD Symptom (dpeaa)DE-He213 Esophageal Manometry (dpeaa)DE-He213 Lower Esophageal Sphincter Pressure (dpeaa)DE-He213 Kamolz, Thomas aut Schweiger, Ursula M. aut Pointner, Rudolph aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 26(2002), 10 vom: 01. Okt., Seite 1234-1238 (DE-627)SPR003391159 nnns volume:26 year:2002 number:10 day:01 month:10 pages:1234-1238 https://dx.doi.org/10.1007/s00268-002-6416-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 26 2002 10 01 10 1234-1238 |
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Granderath, Frank A. misc Patient Satisfaction misc Lower Esophageal Sphincter misc GERD Symptom misc Esophageal Manometry misc Lower Esophageal Sphincter Pressure Quality of Life, Surgical Outcome, and Patient Satisfaction Three Years after Laparoscopic Nissen Fundoplication |
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Quality of Life, Surgical Outcome, and Patient Satisfaction Three Years after Laparoscopic Nissen Fundoplication Patient Satisfaction (dpeaa)DE-He213 Lower Esophageal Sphincter (dpeaa)DE-He213 GERD Symptom (dpeaa)DE-He213 Esophageal Manometry (dpeaa)DE-He213 Lower Esophageal Sphincter Pressure (dpeaa)DE-He213 |
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quality of life, surgical outcome, and patient satisfaction three years after laparoscopic nissen fundoplication |
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Quality of Life, Surgical Outcome, and Patient Satisfaction Three Years after Laparoscopic Nissen Fundoplication |
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Quality of life data and patient satisfaction are important issues in estimating the outcome of laparoscopic antireflux surgery (LARS). Long-term of quality of life assessment has not yet received wide attention. The aim of this prospective study was to evaluate surgical outcome, including quality of life and patient satisfaction, after laparoscopic "floppy" Nissen fundoplication up to 3 years after surgery. Between 1994 and 1996, a total of 150 consecutive patients with severe gastroesophageal reflux disease underwent laparoscopic "floppy" Nissen fundoplication. Quality of life was evaluated using the Gastrointestinal Quality of Life Index (GIQLI). The GIQLI questionnaire was given to the patients prior to surgery, and again 3 months, 1 year, and 3 years postoperatively. In addition, 24-hour pH monitoring and esophageal manometry were performed preoperatively and at each follow-up date. Finally, surgical side-effects and patient satisfaction with the surgical outcome were evaluated 3 years after LARS. Postoperatively lower esophageal sphincter pressure improved significantly in all patients, whereas pH values showed normal data in all but 5 patients. Before surgery, all patients had a poor quality of life (GIQLI score, 90.1 ± 8.9 points). Postoperatively, GIQLI improved significantly (p <.01) and remained stable for at least 3 years, with a mean value of 123.7 ± 9.8 points. This is comparable to 122.6 ± 8.5 points of healthy individuals. Ninety-eight percent of the patients rated their satisfaction with surgical treatment as excellent or good and would undergo surgery again if necessary. Nine patients suffered from minimal surgical side-effects, but these did not significantly impair their quality of life. Laparoscopic reoperation was performed in 2 patients 3 months after initial surgery because of severe dysphagia. Both patients were free of symptoms 3 years after surgery. The efficacy and long-term outcome of treatment of gastroesophageal reflux disease with laparoscopic "floppy" Nissen fundoplication can be evaluated by objective testing, but also with subjective judgment of the patient, including quality of life assessment. © 2002 by the Société Internationale de Chirurgie 2002 |
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Quality of life data and patient satisfaction are important issues in estimating the outcome of laparoscopic antireflux surgery (LARS). Long-term of quality of life assessment has not yet received wide attention. The aim of this prospective study was to evaluate surgical outcome, including quality of life and patient satisfaction, after laparoscopic "floppy" Nissen fundoplication up to 3 years after surgery. Between 1994 and 1996, a total of 150 consecutive patients with severe gastroesophageal reflux disease underwent laparoscopic "floppy" Nissen fundoplication. Quality of life was evaluated using the Gastrointestinal Quality of Life Index (GIQLI). The GIQLI questionnaire was given to the patients prior to surgery, and again 3 months, 1 year, and 3 years postoperatively. In addition, 24-hour pH monitoring and esophageal manometry were performed preoperatively and at each follow-up date. Finally, surgical side-effects and patient satisfaction with the surgical outcome were evaluated 3 years after LARS. Postoperatively lower esophageal sphincter pressure improved significantly in all patients, whereas pH values showed normal data in all but 5 patients. Before surgery, all patients had a poor quality of life (GIQLI score, 90.1 ± 8.9 points). Postoperatively, GIQLI improved significantly (p <.01) and remained stable for at least 3 years, with a mean value of 123.7 ± 9.8 points. This is comparable to 122.6 ± 8.5 points of healthy individuals. Ninety-eight percent of the patients rated their satisfaction with surgical treatment as excellent or good and would undergo surgery again if necessary. Nine patients suffered from minimal surgical side-effects, but these did not significantly impair their quality of life. Laparoscopic reoperation was performed in 2 patients 3 months after initial surgery because of severe dysphagia. Both patients were free of symptoms 3 years after surgery. The efficacy and long-term outcome of treatment of gastroesophageal reflux disease with laparoscopic "floppy" Nissen fundoplication can be evaluated by objective testing, but also with subjective judgment of the patient, including quality of life assessment. © 2002 by the Société Internationale de Chirurgie 2002 |
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Quality of life data and patient satisfaction are important issues in estimating the outcome of laparoscopic antireflux surgery (LARS). Long-term of quality of life assessment has not yet received wide attention. The aim of this prospective study was to evaluate surgical outcome, including quality of life and patient satisfaction, after laparoscopic "floppy" Nissen fundoplication up to 3 years after surgery. Between 1994 and 1996, a total of 150 consecutive patients with severe gastroesophageal reflux disease underwent laparoscopic "floppy" Nissen fundoplication. Quality of life was evaluated using the Gastrointestinal Quality of Life Index (GIQLI). The GIQLI questionnaire was given to the patients prior to surgery, and again 3 months, 1 year, and 3 years postoperatively. In addition, 24-hour pH monitoring and esophageal manometry were performed preoperatively and at each follow-up date. Finally, surgical side-effects and patient satisfaction with the surgical outcome were evaluated 3 years after LARS. Postoperatively lower esophageal sphincter pressure improved significantly in all patients, whereas pH values showed normal data in all but 5 patients. Before surgery, all patients had a poor quality of life (GIQLI score, 90.1 ± 8.9 points). Postoperatively, GIQLI improved significantly (p <.01) and remained stable for at least 3 years, with a mean value of 123.7 ± 9.8 points. This is comparable to 122.6 ± 8.5 points of healthy individuals. Ninety-eight percent of the patients rated their satisfaction with surgical treatment as excellent or good and would undergo surgery again if necessary. Nine patients suffered from minimal surgical side-effects, but these did not significantly impair their quality of life. Laparoscopic reoperation was performed in 2 patients 3 months after initial surgery because of severe dysphagia. Both patients were free of symptoms 3 years after surgery. The efficacy and long-term outcome of treatment of gastroesophageal reflux disease with laparoscopic "floppy" Nissen fundoplication can be evaluated by objective testing, but also with subjective judgment of the patient, including quality of life assessment. © 2002 by the Société Internationale de Chirurgie 2002 |
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