Publication details

Kvalita života po laparoskopické fundoplikaci v závislosti na předoperační symptomatologii

Title in English The Quality of Life Following Laparoscopic Fundoplication in Correlation with Preoperative Symptomatology
Authors

MAREK Filip PROCHÁZKA Vladimír KALA Zdeněk DOLINA Jiří PAVLÍK Tomáš

Year of publication 2011
Type Article in Periodical
Magazine / Source Rozhledy v chirurgii
MU Faculty or unit

Faculty of Medicine

Citation
Web http://www.prolekare.cz/rozhledy-v-chirurgii-clanek?id=35326
Field Surgery incl. transplantology
Keywords quality of life; laparoscopy; reflux; symptoms
Description The aim of this study was to assess the quality of life in patients with GERD, based on their preoperative symptomatology. From IX/2004 to XII/2008, a total of 237 patients underwent antireflux procedures in the Brno Faculty Hospital (FN Brno) Surgical Clinic. The patients underwent preoperative and postoperative gastroenterological examination, including endoscopy, manometry, pH-metry. The patients were asked to fill in the GIQLI (GastroIntestinal Quality of Life Index) questionnaire. The results were statistically assessed and evaluated. The study included a total of 178 patients. There is a statistically significant difference in the quality of life between the patients with atypical and the patients with typical symptomatology, both prior to the procedure (p = 0.002), as well as after the procedure (p = 0.006), with the atypicaly symptomatology patients declairing poorer quality of life than the typical symptomatology ones. The risk of prolonged dysphagia (over 6 weeks after the procedure) is higher in the atypical symptomatology subjects, with statistical significance of p < 0.001. Laparoscopic antireflux surgery increases the quality of life independent of the preoperative symptomatology. Patients with atypical symptoms must be carefully examined and indicated with caution, considering the higher risk of prolonged postoperative dysphagia.

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