Effect of Nissen fundoplication applied at the learning period on quality of life

Ali Kagan Coskun, MD, Taner Yigit, MD, Subutay Peker, MD, Ali Harlak, Orhan Kozak, MD. GATA

Introduction: Gastroesophageal reflux disease is caused by chronic reflux of stomach contents through esophagus. There are many options for the treatment of gastroesophageal reflux disease such as lifestyle modifications, medications, and surgery. The optimal surgical treatment for chronic severe gastroesophageal reflux disease is Nissen fundoplication . This study aimed to evaluate the quality of life following a learning period of laparoscopic Nissen fundoplication by assessing long-term outcomes

Methods: Patients had an operation of Nissen fundoplication for gastroesophageal reflux disease were included in the study. Quality of life was evaluated with SF-36 questionnaires. The questionnaries were applied for the patients who had an operation more than 3 years ago with telephone contact.

Results: Twenty two patients answered the SF-36 questionnaire completely. The mean age of patients( 77.3% males, 22.7% females) was 39.6±9.1 years. The mean time period after the operation was 58.5±10.2 months. There weren’t any dysphagia and gas-bloat syndrome. SF-36 questionnaire revealed a significant improvement. 21 patients (95.4%) were completely satisfied.

Conclusion: Whether the patient was operated by a surgeon at the learning period or not, Nissen fundoplication is safe and effective for the treatment of gastroesophageal reflux disease by providing a better quality of life.

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