BACKGROUND:: We investigated Quality of Life (QoL) and Johnsson & DeMeester score of patients after Nissen-Rossetti fundoplication. MATERIALS AND METHODS:: From January 2007 to June 2008, 43 patients with chronic gastroesophageal reflux underwent laparoscopic Nissen-Rossetti fundoplication; 7 were lost during the follow-up. Patients underwent endoscopy, 24-hour pH-metry, Gastroesophageal Reflux Disease-Health-Related Quality-of-Life (GERD-HRQL), and Short Form 36 (SF-36) questionnaires preoperatively, 6 months, and 12 months after surgery. RESULTS:: Endoscopic findings revealed complete healing of esophagitis in all patients. Barrett esophagus was still present. Six patients reported persistence of symptoms but postoperative pH-metry and endoscopy showed the absence of reflux; 2 patients (5.5%) were still on proton pump inhibitor therapy at 12 months. Seven patients (19.4%) reported dysphagia for solids for at least 3 months. Readmission for dysphagia was required for 2 (5.5%) and 1 patient underwent endoscopic dilatation. At 6 and 12 months, no dysphagia was reported. During the follow-up, no gas-bloat syndrome was reported. The Johnsson & DeMeester score and QoL measurement obtained from GERD-HRQL and SF-36 revealed a significant improvement in the related domain. At 6 months, 23 patients (63.8%) were completely satisfied and after 12 months, 30 patients (83.3%) were satisfied. CONCLUSIONS:: Nissen-Rossetti fundoplication is safe and effective for the treatment of GERD, improving QoL. Copyright © 2012 by Lippincott Williams & Wilkins.

Quality of life after nissen-rossetti fundoplication / Tosato, Filippo; Marano, Salvatore; Mattacchione, Stefano; Barbara, Luongo; Valentina, Mingarelli; Campagna, Giuseppe. - In: SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES. - ISSN 1530-4515. - 22:3(2012), pp. 205-209. [10.1097/sle.0b013e318247d3e5]

Quality of life after nissen-rossetti fundoplication

TOSATO, Filippo;MARANO, SALVATORE;MATTACCHIONE, STEFANO;Valentina Mingarelli;CAMPAGNA, GIUSEPPE
2012

Abstract

BACKGROUND:: We investigated Quality of Life (QoL) and Johnsson & DeMeester score of patients after Nissen-Rossetti fundoplication. MATERIALS AND METHODS:: From January 2007 to June 2008, 43 patients with chronic gastroesophageal reflux underwent laparoscopic Nissen-Rossetti fundoplication; 7 were lost during the follow-up. Patients underwent endoscopy, 24-hour pH-metry, Gastroesophageal Reflux Disease-Health-Related Quality-of-Life (GERD-HRQL), and Short Form 36 (SF-36) questionnaires preoperatively, 6 months, and 12 months after surgery. RESULTS:: Endoscopic findings revealed complete healing of esophagitis in all patients. Barrett esophagus was still present. Six patients reported persistence of symptoms but postoperative pH-metry and endoscopy showed the absence of reflux; 2 patients (5.5%) were still on proton pump inhibitor therapy at 12 months. Seven patients (19.4%) reported dysphagia for solids for at least 3 months. Readmission for dysphagia was required for 2 (5.5%) and 1 patient underwent endoscopic dilatation. At 6 and 12 months, no dysphagia was reported. During the follow-up, no gas-bloat syndrome was reported. The Johnsson & DeMeester score and QoL measurement obtained from GERD-HRQL and SF-36 revealed a significant improvement in the related domain. At 6 months, 23 patients (63.8%) were completely satisfied and after 12 months, 30 patients (83.3%) were satisfied. CONCLUSIONS:: Nissen-Rossetti fundoplication is safe and effective for the treatment of GERD, improving QoL. Copyright © 2012 by Lippincott Williams & Wilkins.
2012
gastroesophageal reflux disease; laparoscopy; quality of life; reflux surgery
01 Pubblicazione su rivista::01a Articolo in rivista
Quality of life after nissen-rossetti fundoplication / Tosato, Filippo; Marano, Salvatore; Mattacchione, Stefano; Barbara, Luongo; Valentina, Mingarelli; Campagna, Giuseppe. - In: SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES. - ISSN 1530-4515. - 22:3(2012), pp. 205-209. [10.1097/sle.0b013e318247d3e5]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/456698
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