LaparoscopyQuality of life before and after laparoscopic fundoplication
Section snippets
Methods
Fifty patients with typical GERD were included in a prospective study between January 1997 and January 1998. All patients underwent a medical history, physical examination, and a routine esophagogastroscopy. A pH monitoring was done only when there was an esophagitis of grade A or less according to the Los Angeles grading system.19 Patients with a proven GERD were considered for surgery if the symptoms recurred after medical treatment or persisted despite the treatment.
The operative technique
Evolution of the GIQLI score
All patients filled out and sent back the three successive forms (practicality of 100%). There were 30 men and 20 women with a mean age of 49.9 ± 11.2 years. Preoperative overall score was 95.6 ± 21 points. The mean score increased significantly 3 months after the fundoplication to 103.6 ± 16 and reached 111.4 ± 22 at 1 year (P <0.0005 for both comparisons). Figure 1 shows the evolution of GIQLI score.
Quality of life in patients versus healthy persons
The GIQLI-score at 1 year was significantly (P <0.0005) lower than the score calculated in
Comments
Several quality of life instruments can be used to assess fundoplication outcomes from the patient’s point of view,21 but none is recognized unanimously as the gold standard. Four categories of instruments are generally used: generic, disease specific, symptom severity, and system specific instruments. In the field of GERD, generic instruments such as the SF-36 or the PGWB have been used10, 11, 12 but their main drawback is their lack of specificity for GERD (no item related to reflux symptoms).
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Impact of gastrointestinal symptoms and psychological disturbances on patients’ quality of life after restrictive or malabsorptive bariatric surgery
2023, Gastroenterologia y HepatologiaCitation Excerpt :SF-36 was developed for generic health-related QoL evaluation, and it enables incorporating the opinion of patients into clinical decision-making.10 GI QoL index (GIQLI) is a well-validated tool for assessing the specific QoL and GI symptoms in patients with GI diseases.11 This questionnaire has been additionally used in the context of GI surgery for gastric cancer, gastroesophageal reflux disease, achalasia, obesity, and other diseases like diabetes.12
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2016, Asian Journal of SurgeryCitation Excerpt :The maximum score was 144. This questionnaire had been verified in previous studies19,22,25–28 and the normal range was from 118 to 125.28 Perioperative complications were defined using the Clavien-Dindo classification for grading the severity of surgical complications.29
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