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Related Experiment Videos

Laparoscopic fundoplication: 5-year follow-up.

M S Dassinger1, A Torquati, H L Houston

  • 1Vanderbilt University, Nashville, Tennessee 37232-2577, USA.

The American Surgeon
|August 27, 2004
PubMed
Summary

Laparoscopic fundoplication offers effective long-term relief for gastroesophageal reflux disease (GERD), with most patients reporting high satisfaction and improved quality of life years after the procedure.

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Area of Science:

  • Gastroenterology
  • Surgical Outcomes

Background:

  • Limited data exists on long-term outcomes (5+ years) after laparoscopic fundoplication.
  • Gastroesophageal reflux disease (GERD) significantly impacts quality of life.

Purpose of the Study:

  • To evaluate the long-term efficacy and patient satisfaction following laparoscopic fundoplication for GERD.
  • To assess quality of life and medication use in patients years after surgery.

Main Methods:

  • A cohort of 76 patients who underwent laparoscopic fundoplication (Nissen or Toupet) between 1992-1997 were surveyed.
  • Quality of life was assessed using QOLRAD and SF-12 questionnaires; medication use and satisfaction were also queried.
  • Mean follow-up was 5.1 years.

Main Results:

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  • 52 patients (68%) completed surveys. Mean QOLRAD scores (5.8/7) were comparable to the general population.
  • SF-12 mental and physical scores were lower than the general population (46.6/50.7 and 34.2/51.2).
  • 92% would undergo the procedure again; 21% remained on antisecretory medications. Heartburn, dysphagia, and bloating were mostly mild postoperatively.

Conclusions:

  • Laparoscopic fundoplication provides effective long-term GERD treatment with high patient satisfaction.
  • The procedure leads to improved quality of life and reduces medication dependence for most patients.
  • Postoperative symptoms are generally mild, indicating a favorable long-term safety profile.