Results of surgery for duodenal ulcer: Assessment by patients

Abstract

A questionnaire was administered to 224 patients who had undergone 246 operations for duodenal ulcer to see how well this correlated with Visick grading and to provide insight into the patients' feelings about the results of their surgery. The patients were divided into three groups by Visick grade: good (grade I, n = 70), satisfactory (grades II and IIIs, n = 104) and poor (grades IIIu and IV, n = 72). The distribution of questionnaire responses in each group was statistically different (P less than 0.01). Dividing the questionnaire responses into three corresponding groups, 72 per cent of patients assigned themselves to the same group as their Visick grade. Three observations were made regarding the Visick system: recurrent ulceration is over-scored and should be included only if symptomatic; grading should acknowledge a wider range of symptoms related to ulcer disease and its treatment; only three grades are necessary.

Calidad De Vida Relacionada Con Salud: Instrumentos De Medición Para Valoración De Resultados en Cirugía Digestiva Alta

“…Publicada en 1948, fue creada con el objetivo de medir resultados postoperatorios de la gastrectomía radical por ulcus péptico 17 . Posteriormente, su aplicación se amplió para valorar CV en pacientes sometidos a cirugía por úlcera péptica en general [21][22][23] ; y luego para evaluación de resultados de diversos tipos de cirugías gástricas 24,25 . Desde hace un tiempo se ha utilizado para evaluar la apreciación de los pacientes respecto a la cirugía antirreflujo, tanto por vía abierta 26 como laparoscópica 27 .…”