Dr Giuseppe Amato and colleagues from Italy investigated which factors are significantly associated with long-term quality of life after laparoscopic total fundoplication in the treatment of gastroesophageal reflux disease (GERD).
The team evaluated 144 patients given a standardized frequency-intensity symptoms questionnaire and the Short-Form 36 Health Survey for quality-of-life evaluation before and after laparoscopic total fundoplication.
The researchers found at follow-up evaluation that 102 patients had a significant reduction in their symptoms score and no deterioration in quality of life.
|6% experienced persistent severe dysphagia|
|American Journal of Surgery|
The research team observed that 6% experienced persistent severe dysphagia.
A significant association with postoperative dysphagia for solids and/or liquids was found in the physical component summary score of the Short-Form 36 administered to patients postoperatively.
Dr Amato’s team concluded, “In this study, laparoscopic total fundoplication was a safe and effective surgical treatment for gastroesophageal reflux disease.”
“Generally offering an improved long-term quality of life, with the exception of a minority of patients who experienced persistent severe dysphagia.”