SP6.1.6 Symptoms and Satisfaction after Nissen Fundoplication – A 10 Year Follow Up

Abstract

Abstract Introduction Laparoscopic Nissen fundoplication remains a key option for surgical treatment of refractory gastro-oesophageal reflux disease. However, limited long term data are available on postoperative symptoms and satisfaction. We aimed to evaluate these in our patients 10 years following their operation. Methods 144 patients were contacted by telephone. Participants were asked about heartburn and obstructive symptoms. If heartburn or dysphagia was present they scored this on a scale of 1–5. Satisfaction was scored from 0–5 and using a four point outcome scale. Respondents were also asked whether they would recommend the operation or have a reoperation if needed. Results We gained 49 participants with operation dates from 2009–2011. 5 participants had since had a redo operation so were excluded from the symptom analysis. There was a high prevalence of obstructive symptoms in the respondents, and a significant minority still experience a degree of heartburn. Conclusion Satisfaction with Nissen fundoplication remains high for most patients 10 years post-operation. However, there remains a significant obstructive symptom burden. This is important to consider as alternative procedures such as Toupet fundoplication become more prevalent.