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The evaluation of pyrosis and long-term satisfaction after gastric restrictive procedures: a retrospective study.
Acta Chir Belg 2005; 105(2):161-7AC

Abstract

OBJECTIVE

To compare gastric banding (GB) and vertical banded gastroplasty (VBG) with respect to the evolution of pyrosis and patient satisfaction.

SUMMARY BACKGROUND DATA

Although weight loss is the most immediate end-point in the evaluation of surgical treatment of obesity, the demonstration of changes in long-term patient satisfaction and in co-morbidity, like reflux, is an essential outcome measure.

MATERIAL AND METHODS

Retrospective study of 243 morbidly obese patients. All patients received a questionnaire regarding the evolution of pyrosis and their satisfaction after surgery. The evolution of pyrosis was compared between 2 patient groups who had different oesophagitis stages. Group A had oesophagitis I, or no oesophagitis, and group B had oesophagitis II, III or IV.

RESULTS

In group A of the GB group 57.8% had no complaints, 11.1% had improvement and 22.2% had aggravation of the pyrosis. In group B of the GB group 50.0% had improvement. In group A of the VBG group 51.4% had no complaints, 11.1% improvement and 23.6% aggravation of the pyrosis. In group B of the VBG group 16.7% had no complaints, 66.6% had improvement and 16.7% had aggravation of the pyrosis complaints. Statistically there is no significant difference between GB and VBG. The experience after GB is good with 67.9%, mediocre with 25.0% and bad with 7.1% of the patients ; 60.7% is pleased with the weight loss. The experience after VBG is good with 47.4%, mediocre with 29.5% and bad with 23.1% of the patients. 52.6% is satisfied with the weight loss.

CONCLUSION

VBG and GB have a similar effect on pyrosis. From our point of view it has been evidenced that the presence or absence of pyrosis before the operation is a possible predictor of the evolution afterwards. Long-term patient satisfaction is the same after GB and VBG. Other factors influence the satisfaction.

Authors+Show Affiliations

Department of abdominal surgery, University Hospital of Antwerp, Belgium.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Evaluation Studies
Journal Article

Language

eng

PubMed ID

15906907

Citation

Balduyck, B, et al. "The Evaluation of Pyrosis and Long-term Satisfaction After Gastric Restrictive Procedures: a Retrospective Study." Acta Chirurgica Belgica, vol. 105, no. 2, 2005, pp. 161-7.
Balduyck B, Vansteenkiste S, Ruppert M, et al. The evaluation of pyrosis and long-term satisfaction after gastric restrictive procedures: a retrospective study. Acta Chir Belg. 2005;105(2):161-7.
Balduyck, B., Vansteenkiste, S., Ruppert, M., Balliu, L., Vaneerdeweg, W., & Hubens, G. (2005). The evaluation of pyrosis and long-term satisfaction after gastric restrictive procedures: a retrospective study. Acta Chirurgica Belgica, 105(2), pp. 161-7.
Balduyck B, et al. The Evaluation of Pyrosis and Long-term Satisfaction After Gastric Restrictive Procedures: a Retrospective Study. Acta Chir Belg. 2005;105(2):161-7. PubMed PMID: 15906907.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The evaluation of pyrosis and long-term satisfaction after gastric restrictive procedures: a retrospective study. AU - Balduyck,B, AU - Vansteenkiste,S, AU - Ruppert,M, AU - Balliu,L, AU - Vaneerdeweg,W, AU - Hubens,G, PY - 2005/5/24/pubmed PY - 2005/8/5/medline PY - 2005/5/24/entrez SP - 161 EP - 7 JF - Acta chirurgica Belgica JO - Acta Chir. Belg. VL - 105 IS - 2 N2 - OBJECTIVE: To compare gastric banding (GB) and vertical banded gastroplasty (VBG) with respect to the evolution of pyrosis and patient satisfaction. SUMMARY BACKGROUND DATA: Although weight loss is the most immediate end-point in the evaluation of surgical treatment of obesity, the demonstration of changes in long-term patient satisfaction and in co-morbidity, like reflux, is an essential outcome measure. MATERIAL AND METHODS: Retrospective study of 243 morbidly obese patients. All patients received a questionnaire regarding the evolution of pyrosis and their satisfaction after surgery. The evolution of pyrosis was compared between 2 patient groups who had different oesophagitis stages. Group A had oesophagitis I, or no oesophagitis, and group B had oesophagitis II, III or IV. RESULTS: In group A of the GB group 57.8% had no complaints, 11.1% had improvement and 22.2% had aggravation of the pyrosis. In group B of the GB group 50.0% had improvement. In group A of the VBG group 51.4% had no complaints, 11.1% improvement and 23.6% aggravation of the pyrosis. In group B of the VBG group 16.7% had no complaints, 66.6% had improvement and 16.7% had aggravation of the pyrosis complaints. Statistically there is no significant difference between GB and VBG. The experience after GB is good with 67.9%, mediocre with 25.0% and bad with 7.1% of the patients ; 60.7% is pleased with the weight loss. The experience after VBG is good with 47.4%, mediocre with 29.5% and bad with 23.1% of the patients. 52.6% is satisfied with the weight loss. CONCLUSION: VBG and GB have a similar effect on pyrosis. From our point of view it has been evidenced that the presence or absence of pyrosis before the operation is a possible predictor of the evolution afterwards. Long-term patient satisfaction is the same after GB and VBG. Other factors influence the satisfaction. SN - 0001-5458 UR - https://www.unboundmedicine.com/medline/citation/15906907/The_evaluation_of_pyrosis_and_long_term_satisfaction_after_gastric_restrictive_procedures:_a_retrospective_study_ L2 - http://www.diseaseinfosearch.org/result/6119 DB - PRIME DP - Unbound Medicine ER -