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

Natalia Dowgiałło-Gornowicz,Sławomir Saluk,Karolina Osowiecka,Paweł Lech,Justyna Kacperczyk,Maciej Michalik,Anna Masiewicz

doi:10.3390/jcm10245924

Abstract

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%.

Highlights

Up to 33% of the adult population suffers from gastroesophageal reflux disease (GERD), which is caused by the reflux of gastric contents into the esophagus [1]
Treatment for GERD involves the use of medicaments as proton pump inhibitors (PPIs), which can relieve symptoms but do not cure the cause of GERD
Each patient completed a preoperative questionnaire for their demographics, preoperative examinations, and symptoms according to GERD Impact Scale (GERD-IS)

Summary

Introduction

Up to 33% of the adult population suffers from gastroesophageal reflux disease (GERD), which is caused by the reflux of gastric contents into the esophagus [1]. It is associated with disturbing symptoms such as heartburn, nausea, or epigastric pain. The latest data from Korea show that, of the 3.1 million patients undergoing PPIs therapy, only underwent surgery between 2012 and 2016 [4]. The above data show that only 1% of the population with GERD underwent surgery. Emphasis should be placed on patient satisfaction after the surgery as well as on its outcomes, including the need for PPIs or symptom relief

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Discussion

Conclusion