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Flatulence After Anti-reflux Treatment (FAART) Study
A J Cockbain1, R Parameswaran1, D I Watson2
1Department of Upper Gastrointestinal Surgery, Royal Adelaide Hospital, Port Road, Adelaide, SA, 5000, Australia.
World Journal of Surgery
|September 6, 2019
Summary
Excessive flatulence is common after laparoscopic fundoplication surgery, affecting 85% of patients long-term. However, this side effect rarely impacts social life or overall quality of life significantly.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Patient Quality of Life
Background:
- Laparoscopic fundoplication is a common anti-reflux surgery.
- Flatulence is a known, yet poorly quantified, side effect.
- The impact of post-operative flatulence on patient quality of life is not well understood.
Purpose of the Study:
- To determine the long-term incidence of flatulence following laparoscopic fundoplication.
- To assess the effect of long-term flatulence on patients' quality of life.
- To analyze outcomes based on patient sex and fundoplication type.
Main Methods:
- Prospective database identification of 462 patients undergoing primary laparoscopic fundoplication (1999-2009).
- Cross-sectional analysis using a symptom-specific questionnaire for gastrointestinal symptoms and quality of life.
- Statistical analysis stratified by sex and fundoplication type (360° vs. partial).
Main Results:
- Follow-up was obtained in 265 patients (57%) at a median of 11 years post-surgery.
- Excessive flatulence was reported by 85% of patients.
- Only 12% reported an adverse impact on social life and 11% on quality of life, regardless of sex or wrap type.
Conclusions:
- The majority of patients experience significant flatulence long-term after anti-reflux surgery.
- Despite high incidence, flatulence has minimal impact on social life and quality of life.
- Patient education on inevitable side effects is crucial for managing expectations post-fundoplication.
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