Long-term comparative outcome between laparoscopic total Nissen and Toupet fundoplication

symptomatic relief, patient satisfaction and quality of life

B. Sgromo, L. A. Irvine, A. Cuschieri, S. M. Shimi

    Research output: Contribution to journalArticle

    25 Citations (Scopus)

    Abstract

    Background Laparoscopic antireflux surgery has become an established method of treatment of gastroesophageal reflux disease. This study compares the long-term outcome of total (Nissen) and partial (Toupet) fundoplication, performed in a single institution, by evaluating symptoms and quality of life.

    Methods 266 patients who underwent laparoscopic Nissen or Toupet fundoplication completed a preoperative reflux symptom questionnaire. Postsurgery symptom evaluation, patient satisfaction and quality of life in reflux and dyspepsia (QOLRAD) questionnaires were sent to these patients in December 2004. The two groups were compared for each item nonparametrically.

    Results Completed questionnaires were received from 161 patients (61%) of whom 99 had a laparoscopic Nissen fundoplication and 62 laparoscopic Toupet fundoplication. Both procedures were equivalent in improving reflux symptom scores in the long term, 79/99 (80%) and 56/62 (90%) were either symptom free or had obtained significant symptomatic relief. Both groups had equivalent QoL scores on the QOLRAD questionnaire. An equivalent number of patients (86% and 83.9% after Nissen and Toupet, respectively) were sufficiently satisfied to recommend antireflux surgery to a friend or relative complaining of reflux symptoms.

    Conclusion In conclusion, in patients who have returned the questionnaire, long-term satisfaction, general symptom scores, and quality of life are equivalent after laparoscopic Nissen (complete) or Toupet (partial) fundoplication. There is however, a significant increased prevalence of persistent heartburn after laparoscopic Toupet fundoplication.

    Original languageEnglish
    Pages (from-to)1048-1053
    Number of pages6
    JournalSurgical Endoscopy
    Volume22
    Issue number4
    DOIs
    Publication statusPublished - Apr 2008

    Keywords

    • reflux
    • laparoscopic total and partial fundoplication
    • long-term symptomatic relief
    • quality of life
    • GASTROESOPHAGEAL REFLUX DISEASE
    • ANTIREFLUX SURGERY

    Cite this

    @article{e5a286d9c33b4f1ca49ce942f32e4240,
    title = "Long-term comparative outcome between laparoscopic total Nissen and Toupet fundoplication: symptomatic relief, patient satisfaction and quality of life",
    abstract = "Background Laparoscopic antireflux surgery has become an established method of treatment of gastroesophageal reflux disease. This study compares the long-term outcome of total (Nissen) and partial (Toupet) fundoplication, performed in a single institution, by evaluating symptoms and quality of life.Methods 266 patients who underwent laparoscopic Nissen or Toupet fundoplication completed a preoperative reflux symptom questionnaire. Postsurgery symptom evaluation, patient satisfaction and quality of life in reflux and dyspepsia (QOLRAD) questionnaires were sent to these patients in December 2004. The two groups were compared for each item nonparametrically.Results Completed questionnaires were received from 161 patients (61{\%}) of whom 99 had a laparoscopic Nissen fundoplication and 62 laparoscopic Toupet fundoplication. Both procedures were equivalent in improving reflux symptom scores in the long term, 79/99 (80{\%}) and 56/62 (90{\%}) were either symptom free or had obtained significant symptomatic relief. Both groups had equivalent QoL scores on the QOLRAD questionnaire. An equivalent number of patients (86{\%} and 83.9{\%} after Nissen and Toupet, respectively) were sufficiently satisfied to recommend antireflux surgery to a friend or relative complaining of reflux symptoms.Conclusion In conclusion, in patients who have returned the questionnaire, long-term satisfaction, general symptom scores, and quality of life are equivalent after laparoscopic Nissen (complete) or Toupet (partial) fundoplication. There is however, a significant increased prevalence of persistent heartburn after laparoscopic Toupet fundoplication.",
    keywords = "reflux, laparoscopic total and partial fundoplication, long-term symptomatic relief, quality of life, GASTROESOPHAGEAL REFLUX DISEASE, ANTIREFLUX SURGERY",
    author = "B. Sgromo and Irvine, {L. A.} and A. Cuschieri and Shimi, {S. M.}",
    year = "2008",
    month = "4",
    doi = "10.1007/s00464-007-9671-4",
    language = "English",
    volume = "22",
    pages = "1048--1053",
    journal = "Surgical Endoscopy",
    issn = "0930-2794",
    publisher = "Springer Verlag",
    number = "4",

    }

    TY - JOUR

    T1 - Long-term comparative outcome between laparoscopic total Nissen and Toupet fundoplication

    T2 - symptomatic relief, patient satisfaction and quality of life

    AU - Sgromo, B.

    AU - Irvine, L. A.

    AU - Cuschieri, A.

    AU - Shimi, S. M.

    PY - 2008/4

    Y1 - 2008/4

    N2 - Background Laparoscopic antireflux surgery has become an established method of treatment of gastroesophageal reflux disease. This study compares the long-term outcome of total (Nissen) and partial (Toupet) fundoplication, performed in a single institution, by evaluating symptoms and quality of life.Methods 266 patients who underwent laparoscopic Nissen or Toupet fundoplication completed a preoperative reflux symptom questionnaire. Postsurgery symptom evaluation, patient satisfaction and quality of life in reflux and dyspepsia (QOLRAD) questionnaires were sent to these patients in December 2004. The two groups were compared for each item nonparametrically.Results Completed questionnaires were received from 161 patients (61%) of whom 99 had a laparoscopic Nissen fundoplication and 62 laparoscopic Toupet fundoplication. Both procedures were equivalent in improving reflux symptom scores in the long term, 79/99 (80%) and 56/62 (90%) were either symptom free or had obtained significant symptomatic relief. Both groups had equivalent QoL scores on the QOLRAD questionnaire. An equivalent number of patients (86% and 83.9% after Nissen and Toupet, respectively) were sufficiently satisfied to recommend antireflux surgery to a friend or relative complaining of reflux symptoms.Conclusion In conclusion, in patients who have returned the questionnaire, long-term satisfaction, general symptom scores, and quality of life are equivalent after laparoscopic Nissen (complete) or Toupet (partial) fundoplication. There is however, a significant increased prevalence of persistent heartburn after laparoscopic Toupet fundoplication.

    AB - Background Laparoscopic antireflux surgery has become an established method of treatment of gastroesophageal reflux disease. This study compares the long-term outcome of total (Nissen) and partial (Toupet) fundoplication, performed in a single institution, by evaluating symptoms and quality of life.Methods 266 patients who underwent laparoscopic Nissen or Toupet fundoplication completed a preoperative reflux symptom questionnaire. Postsurgery symptom evaluation, patient satisfaction and quality of life in reflux and dyspepsia (QOLRAD) questionnaires were sent to these patients in December 2004. The two groups were compared for each item nonparametrically.Results Completed questionnaires were received from 161 patients (61%) of whom 99 had a laparoscopic Nissen fundoplication and 62 laparoscopic Toupet fundoplication. Both procedures were equivalent in improving reflux symptom scores in the long term, 79/99 (80%) and 56/62 (90%) were either symptom free or had obtained significant symptomatic relief. Both groups had equivalent QoL scores on the QOLRAD questionnaire. An equivalent number of patients (86% and 83.9% after Nissen and Toupet, respectively) were sufficiently satisfied to recommend antireflux surgery to a friend or relative complaining of reflux symptoms.Conclusion In conclusion, in patients who have returned the questionnaire, long-term satisfaction, general symptom scores, and quality of life are equivalent after laparoscopic Nissen (complete) or Toupet (partial) fundoplication. There is however, a significant increased prevalence of persistent heartburn after laparoscopic Toupet fundoplication.

    KW - reflux

    KW - laparoscopic total and partial fundoplication

    KW - long-term symptomatic relief

    KW - quality of life

    KW - GASTROESOPHAGEAL REFLUX DISEASE

    KW - ANTIREFLUX SURGERY

    U2 - 10.1007/s00464-007-9671-4

    DO - 10.1007/s00464-007-9671-4

    M3 - Article

    VL - 22

    SP - 1048

    EP - 1053

    JO - Surgical Endoscopy

    JF - Surgical Endoscopy

    SN - 0930-2794

    IS - 4

    ER -