Preoperative factors affecting health quality of patients undergone surgery for Gastroesophageal reflux disease
Journal Title: Dokuz Eylul Universitesi Tip Fakultesi Dergisi - Year 2017, Vol 31, Issue 1
Abstract
INTRODUCTION: GORD(Gastroesophageal reflux disease)is described as reflux of gastric content to esophagus leading to retrosternal burn more than twice in a week.Cases resisted to anti-acid therapy and who were complicated are candidates for anti-reflux surgery.In this study our aim is to show and analyze preoperative factors affecting SF36 health survey scores of patients undergone Laparoscopic Nissen Fundoplication(LNF) surgery for GORD in postoperative sixth month. METHODS: Patients who had complaints of pain located on epigastric region,retrosternal burn and were diagnosed as GORD,were undergone LNF;whose data of Helicobacter pylori(HP) positivity,alkalen reflux gastritis(ARG) positivity,body mass indices(BMI),diameters of hiatal hernia(HH) were recorded.27 patients were excluded from the study who didn’t fill out the SF36 form, had some missing information in their registration or follow-up files,and applied conversion fundoplication or Retro surgery.The effects of these factors on SF36 Health Survey form were analyzed on postoperative sixth month and compared. RESULTS: 22 patients had HP,19 patients had ARG positivity.27 patients had BMI’s between 35-39.9kg/m2.Female patients had more sensitivity to pain(p=0,041),however patients with HP positivity had more disability of emotional role statistically(p=0,039).There was not significance statistically in SF36 form of patients with ARG positivity(p>0.05).Patients with wider HH tent to have more response for physical functions and pain(p=0.039, p=0.037). Patients had BMI’s between 30-34.9 kg/m2 tent to have more response to pain(p<0.001). DISCUSSION AND CONCLUSION: Our results show that LNF surgery could be successfully performed for GORD treatment and SF36 test could be useful in evaluation of surgical quality of GORD patients undergone LNF surgery especially who have low BMI’s and large hiatal hernia.
Authors and Affiliations
Turgut Anuk, Şahin KAHRAMANCA, Ali Cihat YILDIRIM, Mahmut Can YAĞMURDUR
Keywords
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