Patients complaining of problems after antireflux surgery may have differences in illness behaviour.
This could influence the decision to perform a revision procedure or its outcome.
Dr Jeremy Hayden and colleagues from Australia designed a prospective comparative questionnaire survey of consecutive series of patients.
Patients underwent esophageal pH and manometric studies from 2001 through 2004, for investigation of new or recurrent symptoms after antireflux surgery.
There were 52 eligible patients, of whom 1 was excluded because of refusal to enter the study, and 3 due to communication difficulties.
Of the remaining 48 patients, 22 underwent revision surgery and 26 did not.
These 2 groups were compared with 167 patients with primary gastroesophageal reflux disease (GERD) investigated during the same period.
The team obtained a self-administered, validated illness behavior questionnaire completed after informed consent.
|Affective disturbance, denial, irritability, and hypochondriasis was assessed|
|Archives of Surgery|
The researchers derived illness behavior categories from the questionnaire answers.
General hypochondriasis, disease conviction, psychological vs somatic illness perception, and affective inhibition was evaluated.
The team also assessed affective disturbance, denial, irritability, whiteley index of hypochondriasis, affective state, and disease affirmation.
The researchers found no differences in illness behavior category scores between the 2 groups with postoperative problems and primary GERD.
Dr Hayden's team concluded, “Patients with problems after antireflux surgery have an illness behaviour profile similar to that in patients with primary GERD irrespective of whether there is objective evidence of recurrent reflux disease.”