Navigation Links
Patients Pleased With Laparoscopic GERD Surgery
Date:5/23/2008

Anti-reflux procedure improved quality of life, cut need for 2nd treatment

FRIDAY, May 23 (HealthDay News) -- High levels of patient satisfaction and low rates of re-surgery were found in patients with gastroesophageal reflux disease (GERD) who had minimally invasive laparoscopic fundoplication (anti-reflux surgery) performed by an experienced surgeon, says a U.S. study.

Studies have shown the short-term effectiveness of laparoscopic anti-reflux surgery, but the results of longer-term studies have been varied, according to background information in the study by researchers at Massachusetts General Hospital and Harvard Medical School.

The study included 191 patients, average age 52, who had primary (173 patients) or revision (18 patients) laparoscopic anti-reflux surgery by the same surgeon between 1997 and 2006.

After the procedure, the patients provided information about their quality of life, use of anti-reflux medication, the need for postoperative intervention, satisfaction, and willingness to have the operation again. The median duration of follow-up was five years.

The study found that 71 percent of patients who had primary anti-reflux surgery were satisfied with their long-term results, compared with 35 percent of patients who had revision anti-reflux surgery. But the majority of patients in both groups (88 percent who had primary surgery and 76 who had redo surgery) said they'd be willing to have the surgery again.

"Only three patients (1.2 percent) required re-operation," the study authors wrote. "Patients with body-mass indexes (BMIs) between 25 and 35 had lower GERD-HRQL (health-related quality of life) scores than thin and morbidly obese patients."

The findings were published in the May issue of the Archives of Surgery.

"In contrast to reports in the medical literature, the results of this study demonstrate that most patients undergoing primary laparoscopic fundoplication by an experienced surgical team have near normal GERD-HRQL scores at long-term follow-up and low re-operation rates and are satisfied with their decision to undergo surgery. In addition, BMI appears to be an important factor when predicting long-term outcomes," the study authors concluded.

"Results following redo laparoscopic fundoplication are not as good, highlighting the importance of proper patient selection and surgical technique when performing primary laparoscopic fundoplication."

More information

The American College of Gastroenterology has more about GERD.



-- Robert Preidt



SOURCE: JAMA/Archives journals, news release, May 19, 2008


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Obese Patients at Greater Infection Risk After Hip Replacement
2. Carbon Monoxide May Help Bypass Surgery Patients
3. More intensive dialysis does not improve outcomes among patients with acute kidney injury
4. AHRQ Announces Guide to Help Patients on Coumadin(R)/Warfarin Therapy
5. Aurora St. Lukes Opens Two Retail Stores to Serve Patients Medical, Convenience Needs
6. Temporary dentures improve patients smiles and overall health
7. RTOG Study Likely Treatment Option for Brain Tumor Patients like Sen. Kennedy
8. More patients with drug-coated cardiac stents survive, avoid costly follow-up procedures
9. Drive-Through Mastectomies Threaten Patients Lives
10. Cumulative radiation exposure shows increased cancer risk for emergency department patients
11. Mayo Clinic Research Shows U.S. Intensive Care Units Prevention of Pneumonia in Critically-ill Patients Generally Strong; Identifies Area of Improvement
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/23/2017)... ... ... 150+ Hospital and Health System Executive Speakers including: , , Chief ... the United States of America: George W. Bush , Boxing Legend, Successful Entrepreneur ... Leonard , JD, Chairperson, McGuireWoods LLP: Amber McGraw Walsh , Senior ...
(Date:3/23/2017)... Grants Pass, OR (PRWEB) , ... March 23, 2017 , ... ... Power of Water, Global Climate Change and Your Health on VoiceAmerica, recently talked on ... 22nd, but she also used the occasion to remind listeners of an important distinction. ...
(Date:3/23/2017)... ... March 23, 2017 , ... Natural ... all aspects of people’s health and nutrition, announced its product Leyzene is now ... Natural Subsistence develops nutritional supplements that help people improve all aspects of their ...
(Date:3/23/2017)... ... ... Inflow IQ & Inflownomics of Raleigh, NC introduce a powerful information access network. ... experts in dangerous situations the Inflow IQ team can help people. Get ready ... & refreshing knowledge systems that enhance life. , Authentically enjoy 500 ...
(Date:3/23/2017)... ... , ... The American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) ... Health Care Quality and Management and Patient Safety. , It is with appreciation and ... also to the Health Care Quality and Patient Safety movements. Diplomates and Members lead ...
Breaking Medicine News(10 mins):
(Date:3/23/2017)... 23, 2017  Additive Orthopaedics, LLC., an early ... has kicked off a multi-centered clinical study to ... segments. According to Brian McLaughlin ... lattice structures have already shown tremendous post-operative success ... allograft wedges from which we have seen evidence ...
(Date:3/23/2017)... 23, 2017 Newborns are highly vulnerable ... vaccines because their young immune systems typically mount ... Hospital report achieving strong vaccine responses in newborn ... before human trials — by adding compounds known ... two simultaneous papers, they also describe improved adjuvant ...
(Date:3/23/2017)...  A new genetic test has been discovered ... who carry HLA-B*15:02 and who are ... deadly side effect of certain medications used to ... HLA-B*15:02 is strongly associated with life-threatening severe ... toxic epidermal necrolysis in patients treated with carbamazepine ...
Breaking Medicine Technology: