Kornmo T S, Ruud T E
Department of Surgery, Sykehuset Asker and Baerum, Rud, Norway.
Scand J Surg. 2008;97(3):227-30. doi: 10.1177/145749690809700304.
Laparoscopic 360 degrees nissen fundoplication has been our routine surgical procedure since 1995, in the treatment of gastroesophageal reflux disease (GERD). We have reviewed our results of patients treated with laparoscopic Nissen fundoplication (LNF) during 1995-1998.
170 patients have undergone LNF in our hospital since 1995. during the period of 1995-1998, 33 patients were treated. all patients were asked to return a structured follow-up questionnaire, using a Visick grading scale, after an average of 69 months (2003) and 117 months (2007). 29 questionnaires (90%) were answered in 2003, and 31 questionnaires (97%) were answered in 2007. one patient died at home before the first questionnaire in 2003, and is therefore not included. We present our results on LNF after an observation time of 117 months (range 99-144 months).
patient satisfaction after LNF is rated as very good or good (Visick 1-2) in 93% in 2003 and 97% in 2007. 97% of the patients would recommend the same treatment to other patients with similar symptoms at ten year follow up. One patient has undergone resurgery during follow up. Daily gas bloat and flatulence is reported in 52% in 2003 and 39% in 2007, and is the most common reason for reduced satisfaction. Five patients report of reflux symptoms, one patient daily and four patients sometimes, where the first patient still uses proton pump inhibitor (PPI) daily and three patients use PPI occasionally.
patient satisfaction after LNF treatment for gerd is high at long-term (10 years) follow-up. Bloating and flatulence persistently occurred to a great extent and the need for preoperative information regarding these symptoms is important.
自1995年起，腹腔镜360度nissen胃底折叠术一直是我们治疗胃食管反流病（GERD）的常规手术方法。我们回顾了1995年至1998年期间接受腹腔镜nissen胃底折叠术（LNF）治疗的患者的结果。
自1995年以来，我院有170例患者接受了LNF。在1995年至1998年期间，有33例患者接受了治疗。所有患者均被要求在平均69个月（2003年）和117个月（2007年）后返回一份使用Visick分级量表的结构化随访问卷。2003年有29份问卷（90%）得到回复，2007年有31份问卷（97%）得到回复。1例患者在2003年第一次问卷调查前在家中死亡，因此未被纳入。我们在观察117个月（范围99 - 144个月）后展示LNF的结果。
2003年LNF术后患者满意度评为非常好或好（Visick 1 - 2级）的占93%，2007年为97%。在十年随访中，97%的患者会向其他有类似症状的患者推荐相同的治疗方法。1例患者在随访期间接受了再次手术。2003年有52%的患者报告每日有胃胀气，2007年为39%，这是满意度降低的最常见原因。5例患者报告有反流症状，1例患者每日有反流，4例患者有时有反流，其中第1例患者仍每日使用质子泵抑制剂（PPI），3例患者偶尔使用PPI。
长期（10年）随访显示，LNF治疗GERD后患者满意度较高。腹胀和肠胃气胀在很大程度上持续存在，术前提供有关这些症状的信息很重要。
