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Titolo:
Quality of life before and after laparoscopic fundoplication
Autore:
Slim, K; Bousquet, J; Kwiatkowski, F; Lescure, G; Pezet, D; Chipponi, J;
Indirizzi:
Jean Perrin Ctr, Dept Gen & Digest Surg, Clermont Ferrand, France Jean Perrin Ctr Clermont Ferrand France Surg, Clermont Ferrand, France Jean Perrin Ctr, Dept Stat, Clermont Ferrand, France Jean Perrin Ctr Clermont Ferrand France Stat, Clermont Ferrand, France
Titolo Testata:
AMERICAN JOURNAL OF SURGERY
fascicolo: 1, volume: 180, anno: 2000,
pagine: 41 - 45
SICI:
0002-9610(200007)180:1<41:QOLBAA>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
GASTROESOPHAGEAL REFLUX DISEASE; OF-LIFE; NISSEN FUNDOPLICATION; ANTIREFLUX SURGERY; GASTROINTESTINAL SYMPTOMS; FOLLOW-UP; QUESTIONNAIRE; VALIDATION; DYSPEPSIA; ESOPHAGITIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Slim, K Hotel Dieu, Dept Gen & Digest Surg, BP 69, F-63003 Clermont Ferrand 1, France Hotel Dieu BP 69 Clermont Ferrand France 1 mont Ferrand 1, France
Citazione:
K. Slim et al., "Quality of life before and after laparoscopic fundoplication", AM J SURG, 180(1), 2000, pp. 41-45

Abstract

BACKGROUND: Laparoscopic fundoplication is a well-established surgical option for the treatment of gastroesophageal reflux disease. The aim of this study was to assess the surgical outcomes from the patient's point of view by using a validated quality of life instrument. METHODS: Fifty patients have been prospectively included. All patients underwent a standardized 270-degree posterior fundoplication. Quality of life was measured by the Gastrointestinal Quality of Life Index (GIQLI), a 36-item-questionnaire. The patients received the questionnaire before surgery, and 3 months and 1 year after surgery. RESULTS: Preoperative score was 95.6 +/- 21 points. The score increased significantly (P <0.0005) at 3 months (103.6 +/- 16) and 1 year (111.4 +/- 22) after surgery. This improvement concerned the four domains of the questionnaire (symptoms, social functioning, physical status, and emotions). The score in patients at 1 year remained, however, significantly lower than thatin healthy persons (126 +/- 18). CONCLUSIONS: GIQLI is a sensitive tool to assess surgical outcomes after fundoplication. The quality of life after surgery did not reach the level ofhealthy population, not because of failure of surgery to treat GERD but probably because of functional dyspepsia that was present prior to surgery and did not change after fundoplication. (C) 2000 by Excerpta Medica, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 07:12:43