Abstract | BACKGROUND: METHODS: A nested case-control study was conducted. In this study, 14 cases of laparoscopic Collis-Nissen fundoplications were matched for age, gender, and length of the follow-up period to a cohort of 120 control subjects who underwent laparoscopic Nissen fundoplication. All the patients were mailed a follow-up survey which included a Short Form-12 (SF-12) health status (quality-of-life) questionnaire (a validated quality-of-life instrument), a Quality of Life in Reflux and Dyspepsia (QOLRAD) questionnaire (a GERD-specific quality-of-life instrument), and queries regarding long-term satisfaction and medication use. RESULTS: Both groups showed a significant postoperative increase in QOLRAD mean scores (p = 0.01). However, the difference in the delta (postoperative-preoperative) score between the two groups was not significant (Fig. 1). There were no differences in mental (MCS) or physical (PCS) SF-12 scores between the two groups. The rate of satisfaction with the surgery was similar in the Nissen-Collis fundoplication (87.5%) and Nissen fundoplication (87%) groups. CONCLUSIONS:
Collis gastroplasty combined with Nissen fundoplication is an effective procedure for patients with a shortened esophagus diagnosed intraoperatively during antireflux surgery. Patient satisfaction, postoperative quality of life, and QOLRAD score improvement after this procedure are comparable with those observed in patients treated with Nissen fundoplication alone.
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Authors | Y K Youssef, N Shekar, R Lutfi, W O Richards, A Torquati |
Journal | Surgical endoscopy
(Surg Endosc)
Vol. 20
Issue 11
Pg. 1702-5
(Nov 2006)
ISSN: 1432-2218 [Electronic] Germany |
PMID | 16960664
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Adult
- Aged
- Case-Control Studies
- Female
- Fundoplication
- Gastroesophageal Reflux
(surgery)
- Gastroplasty
- Humans
- Laparoscopy
- Male
- Middle Aged
- Patient Satisfaction
- Quality of Life
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