主要抗逆流性手术后的生活质量:根据主要指示进行分析
Mark Shacker1, Andrés R Latorre-Rodríguez2,3, Austin Reynolds1
1Creighton University School of Medicine, Phoenix Health Sciences Campus, Phoenix, AZ, USA.
Surgical endoscopy
|May 27, 2025
概括
抗逆流性手术 (ARS) 对大多数患者来说显著改善了生活质量 (QoL),但结果因适应症而异. 需要进一步的研究,以根据患者的特定需求量身定制ARS并优化QoL.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 患者的治疗结果.
背景情况:
- 抗逆流性手术 (ARS) 涵盖了休息状况的各种程序,而不仅仅是典型的胃食道逆流性疾病 (GERD).
- 在不同症候群的ARS后的术后生活质量 (QoL) 尚不清楚.
- 这项研究调查了使用GERD与健康相关的生活质量 (HRQL) 仪器对四种常见的ARS症状进行一年的QOL结果.
研究的目的:
- 为了评估四个不同的适应症的最小侵入性反流性手术 (ARS) 后的一年 QoL 结果.
- 为了分析五年来QoL和酸抑制疗法的使用趋势.
- 根据外科手术的适用性来确定 QoL 和满意度的潜在差异.
主要方法:
- 一个前性维护的数据库的回顾性分析,该数据库是针对接受选择性微创性ARS的患者.
- 包括患有手术前和1年术后GERD-HRQL得分的患者;排除修订,非基因组复合,急诊和肺移植病例.
- 分析了GERD-HRQL总和子组件得分 (心烧,消,反) 和患者满意度,按症状分层分层:典型的GERD,阻塞性症状,慢性出血/贫血和非典型的GERD.
主要成果:
- 包括83名患者,一年后100%的随访.
- 总GERD-HRQL得分的中位数在一到五年内从手术前的27个显著改善到术后的0-3.5个 (p <0.05).
- 与其他组相比,具有非典型GERD指示的患者在一年内显示出更高的HRQL得分 (更差的QoL) 和更低的满意度.
结论:
- 最少侵入性ARS通常会随着时间的推移提高QoL和患者满意度.
- 目前的实践和研究需要对ARS采取更分层的方法,考虑特定的指示和患者需求.
- 未来的优先事项包括定义患者表型,并为每个群体建立量身定制的手术和以患者为中心的结果.
相关概念视频
Gastroesophageal Reflux Disease II: Clinical Features and Management
222
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
222
Peptic Ulcer Disease V: Surgical Management and Nursing Care
424
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
424
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
184
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
184
Barrett Esophagus-II: Clinical Manifestations and Management
321
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
321
Esophageal Strictures-II: Clinical Features and Management
169
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
169
Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
538
Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...
538


