Dowgiałło-Gornowicz Natalia, Kacperczyk Justyna, Masiewicz Anna, Lech Paweł, Saluk Sławomir, Osowiecka Karolina, Michalik Maciej
Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Niepodległosci 44 St., 10-045 Olsztyn, Poland.
Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn, Warszawska 30 St., 11-041 Olsztyn, Poland.
J Clin Med. 2021 Dec 17;10(24):5924. doi: 10.3390/jcm10245924.
Up to 33% of the population suffers from gastroesophageal reflux disease (GERD). Given its high prevalence, the negative impact on quality of life, and the possible progression to esophageal cancer, the definitive treatment of GERD should be used more frequently. This study aims to assess long-term patient satisfaction after laparoscopic Nissen fundoplication (LNF). We reviewed the prospectively collected data of patients who underwent LNF for GERD in our department in 2014-2018. Each patient completed a preoperative questionnaire according to GERD Impact Scale (GERD-IS). Postoperative survey consisted of GERD-IS, the need for PPIs, and two "yes or no" questions to assess satisfaction with the outcome. The mean follow-up time was 50 months (21.2-76.3 ± 16.6 months). There was a statistically significant improvement in each GERD-IS question ( < 0.001). A total of 87 patients (78.4%) would recommend the surgery to their relatives. Patients without symptom recurrence and without the need for chronic PPI use after surgery were significantly more likely to recommend surgery and to undergo the procedure again ( < 001). The age of patients did not influence patients' recommendations ( = 0.75). A total of 17 patients (15.3%) would not undergo LNF again. There was no significant correlation between the answer and patient's complications or age ( > 0.05). LNF is a good treatment for GERD with a satisfaction rate of 78.4%.
高达33%的人口患有胃食管反流病（GERD）。鉴于其高患病率、对生活质量的负面影响以及可能进展为食管癌，GERD的确定性治疗应更频繁地使用。本研究旨在评估腹腔镜尼森胃底折叠术（LNF）后患者的长期满意度。我们回顾了2014年至2018年在我科接受LNF治疗GERD患者的前瞻性收集数据。每位患者根据胃食管反流病影响量表（GERD-IS）完成一份术前问卷。术后调查包括GERD-IS、对质子泵抑制剂（PPI）的需求以及两个“是或否”问题，以评估对结果的满意度。平均随访时间为50个月（21.2 - 76.3 ± 16.6个月）。每个GERD-IS问题均有统计学意义上的改善（< 0.001）。共有87名患者（78.4%）会向其亲属推荐该手术。术后无症状复发且无需长期使用PPI的患者更有可能推荐手术并再次接受该手术（< 0.01）。患者年龄不影响患者的推荐（P = 0.75）。共有17名患者（15.3%）不会再次接受LNF。答案与患者的并发症或年龄之间无显著相关性（P > 0.05）。LNF是治疗GERD的一种良好方法，满意度为78.4%。
