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Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication.
Surg Laparosc Endosc Percutan Tech. 2020 Jul 08 [Online ahead of print]SL

Abstract

PURPOSE

To investigate the postoperative gastrointestinal complaints and their effects on the satisfaction level of patients after laparoscopic Nissen fundoplication (LNF).

MATERIALS AND METHODS

Over a 7-year period, 553 patients who underwent "floppy" LNF were evaluated for preoperative and postoperative complaints. For this purpose, a set of questions derived from gastroesophageal reflux disease-health-related quality-of-life questionnaire (GERD-HRQL) was used. A P-value of <0.05 was considered to show a statistically significant result.

RESULTS

The present study included 215 patients with a mean follow-up of 60 months. Reflux-related symptoms [regurgitation (17.7%), heartburn (17.2%), and vomiting (3.7%)] and nonspecific symptoms [bloating (50.2%), abdominal pain (15.3%), and belching (27%)] showed a significant decrease (P<0.001) after the surgery. Inability to belch (25.1%) and early satiety (29.3%) were the newly emerged symptoms. The percentage of patients with flatulence increased from 23.3% to 38.1% after LNF. There was no significant difference for dysphagia (25.6%) and diarrhea (15.3%) in the postoperative period. Of the patients, 15.3% had recurrent preoperative complaints and 9.8% were using drugs for that condition. Satisfaction level and preference for surgery were 82.8% and 91.6%, respectively. There was no significant difference in GERD-HRQL score according to body mass index.

CONCLUSIONS

This is the first study in which postoperative reflux-related and nonspecific gastrointestinal complaints are analyzed together for a long follow-up period. We found a significant decrease in many reflux-related and nonspecific symptoms. Although some disturbing complaints like inability to belch, early satiety, and flatulence emerged, the preference for surgery did not change.

Authors+Show Affiliations

Department of Surgery, Yuksek Ihtisas University Faculty of Medicine, Ankara.Türkçapar Bariatrics, Istanbul, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32649341

Citation

Makal, Gül B., and Ahmet G. Türkçapar. "Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 2020.
Makal GB, Türkçapar AG. Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication. Surg Laparosc Endosc Percutan Tech. 2020.
Makal, G. B., & Türkçapar, A. G. (2020). Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. https://doi.org/10.1097/SLE.0000000000000820
Makal GB, Türkçapar AG. Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication. Surg Laparosc Endosc Percutan Tech. 2020 Jul 8; PubMed PMID: 32649341.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication. AU - Makal,Gül B, AU - Türkçapar,Ahmet G, Y1 - 2020/07/08/ PY - 2020/7/11/entrez PY - 2020/7/11/pubmed PY - 2020/7/11/medline JF - Surgical laparoscopy, endoscopy & percutaneous techniques JO - Surg Laparosc Endosc Percutan Tech N2 - PURPOSE: To investigate the postoperative gastrointestinal complaints and their effects on the satisfaction level of patients after laparoscopic Nissen fundoplication (LNF). MATERIALS AND METHODS: Over a 7-year period, 553 patients who underwent "floppy" LNF were evaluated for preoperative and postoperative complaints. For this purpose, a set of questions derived from gastroesophageal reflux disease-health-related quality-of-life questionnaire (GERD-HRQL) was used. A P-value of <0.05 was considered to show a statistically significant result. RESULTS: The present study included 215 patients with a mean follow-up of 60 months. Reflux-related symptoms [regurgitation (17.7%), heartburn (17.2%), and vomiting (3.7%)] and nonspecific symptoms [bloating (50.2%), abdominal pain (15.3%), and belching (27%)] showed a significant decrease (P<0.001) after the surgery. Inability to belch (25.1%) and early satiety (29.3%) were the newly emerged symptoms. The percentage of patients with flatulence increased from 23.3% to 38.1% after LNF. There was no significant difference for dysphagia (25.6%) and diarrhea (15.3%) in the postoperative period. Of the patients, 15.3% had recurrent preoperative complaints and 9.8% were using drugs for that condition. Satisfaction level and preference for surgery were 82.8% and 91.6%, respectively. There was no significant difference in GERD-HRQL score according to body mass index. CONCLUSIONS: This is the first study in which postoperative reflux-related and nonspecific gastrointestinal complaints are analyzed together for a long follow-up period. We found a significant decrease in many reflux-related and nonspecific symptoms. Although some disturbing complaints like inability to belch, early satiety, and flatulence emerged, the preference for surgery did not change. SN - 1534-4908 UR - https://www.unboundmedicine.com/medline/citation/32649341/Postoperative_Gastrointestinal_Complaints_After_Laparoscopic_Nissen_Fundoplication L2 - https://doi.org/10.1097/SLE.0000000000000820 DB - PRIME DP - Unbound Medicine ER -
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