Long‐Term Outcome and Quality of Life After Laparoscopic Treatment of Large Paraesophageal Hernia

Targarona, Eduardo M.; Grisales, Samuel; Uyanık, Özlem; Balagué, Carmen; Pernas, Juan Carlos; Trías, Manuel

doi:10.1007/s00268-013-2047-0

Cited by 50 publications

(35 citation statements)

References 25 publications

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“…Respiratory symptoms, such as coughing and hoarseness, showed initial improvement, but at the long-term follow-up, this improvement was no longer statistically significant. This correlates with previous studies which suggest that the patient's respiratory symptoms are not as closely linked to the PEH as the gastrointestinal symptoms [19]. This was regardless of the radiologic status of the repair.…”

Section: Discussionsupporting

confidence: 78%

Long-term outcomes of radiologic recurrence after paraesophageal hernia repair with mesh

et al. 2014

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Section: Discussionsupporting

confidence: 78%

Long-term outcomes of radiologic recurrence after paraesophageal hernia repair with mesh

et al. 2014

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“…Dysphagia is a common side effect of the procedure, and an incidence of 13 % is reported in the literature [13]. This is in contrast with our findings in the quality of life questionnaires.…”

Section: Discussioncontrasting

confidence: 99%

Subjective outcome after laparoscopic hiatal hernia repair for intrathoracic stomach

Castelijns

Ponten

Poll

et al. 2016

Langenbecks Arch Surg

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PurposeFor decades, an intrathoracic stomach (ITS) has been a definite indication for surgery due to the perceived risk of an acute volvulus with perforation, gangrene, or hemorrhage. At the present time, elective laparoscopic repair is the first choice for treatment of ITS. There is a lack of evidence in the long-term quality of life after a hiatal hernia repair for an intrathoracic stomach.MethodsA retrospective analysis was performed on all patients undergoing a hiatal hernia repair for an intrathoracic stomach between January 2004 and January 2015. Additionally, to a hiatal closure, the patients received an antireflux procedure. Outcome measures included patient characteristics, operative details, complications, and postoperative morbidity and mortality. All patients were sent a quality of life questionnaire to assess long-term quality of life and patient satisfaction. A higher quality of life score represents a better quality of life.ResultsEighty-six patients underwent laparoscopic repair for ITS, from which, one patient died during surgery. Eighty-five patients were contacted and 81 completed the questionnaire, resulting in a response rate of 95.3 %. At a median follow-up of 2.7 years (range 0.1–9.6), the mean quality of life score was 13.5 (standard deviation 2.8). The mean overall satisfaction was 8.4.There were four recurrences: three in the first 12 days after surgery and one in 2.4 years.ConclusionsVery good results in patient satisfaction and symptom reduction were achieved after a median follow-up of 2.7 years in this laparoscopic repair of the intrathoracic stomach single center experience study. The symptomatic recurrence rate was very low.

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“…In the elderly, the prevalence of GERD is nearly the same among the general population, but complicated GERD appears to be more common than in younger people ( Hazzard, 2001 ). Several authors have reported a higher incidence of esophagitis as well as Barrett esophagus in older patients ( Fass et al, 2000 ;Grant et al, 2013 ;Reynolds, 1996 ;Shaheen & Ransohoff, 2002 ;Targarona et al, 2013 ).…”

Section: Discussionmentioning

confidence: 99%

The Impact of Laparoscopic Nissen Fundoplication on the Long-Term Quality of Life in Patients With Gastroesophageal Reflux Disease

Korkolis

Kapritsou

Konstantinou

et al. 2015

Gastroenterology Nursing

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Laparoscopic Nissen fundoplication is now the most common surgical procedure for treatment of gastroesophageal reflux disease (GERD), offering promising long-term outcomes. Outcomes for 46 patients with GERD who underwent Nissen fundoplication during the last 5 years (November 2007-June 2012) were prospectively studied using a structured questionnaire that evaluated clinical symptom scores for heartburn, dysphagia, and satisfaction with clinical outcomes. Postoperative care of the patients including analgesia, median hospital stay, overall cost, and complications was also studied. Clinical follow-up data for 2 years after surgery were available for all 46 patients. Forty-two patients (91.3%) were satisfied with their quality of life and only eight patients (17.4%) continued to receive antacids after surgery. Dysphagia to solid and liquid occasionally appeared in 26.1% (N = 12) and 17.4% (N = 8) of patients, respectively. Laparoscopic Nissen fundoplication was an effective long-term treatment for GERD. The operation resulted in a significant reduction of symptoms and minimized the use of antacid drugs with a high degree of patient satisfaction. Although some patients may have returned to antacid treatment at late follow-up or continued to complain of mild discomfort, they were overall pleased with the outcome.

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Long‐Term Outcome and Quality of Life After Laparoscopic Treatment of Large Paraesophageal Hernia

Cited by 50 publications

References 25 publications

Long-term outcomes of radiologic recurrence after paraesophageal hernia repair with mesh

Long-term outcomes of radiologic recurrence after paraesophageal hernia repair with mesh

Subjective outcome after laparoscopic hiatal hernia repair for intrathoracic stomach

The Impact of Laparoscopic Nissen Fundoplication on the Long-Term Quality of Life in Patients With Gastroesophageal Reflux Disease

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