title: Patient satisfaction and quality of life following laparoscopic Nissen fundoplication.
abstract: BACKGROUND
  Today, antireflux surgery has an established position in the management of gastroesophageal reflux disease. Some case series have shown good short-term results, but there is still little information regarding long-term results. Studies have recently focused on evaluating residual symptomatology and its impact on quality of life.
  
  
  OBJECTIVE
  To determine the postoperative quality of life and degree of satisfaction in patients that underwent laparoscopic Nissen fundoplication.
  
  
  METHODS
  A total of 100 patients (59 women and 41 men) were studied after having undergone laparoscopic Nissen fundoplication. The variables analyzed were level of satisfaction, gastrointestinal quality of life index (GIQLI), residual symptoms, and the Visick scale.
  
  
  RESULTS
  No variation was found in relation to sex; 49 men and 51 women participated in the study. The mean age was 49 years. The degree of satisfaction encountered was: satisfactory in 81 patients, moderate in 3, and bad in 2 patients. More than 90% of the patients would undergo the surgery again or recommend it. The Carlsson score showed improvement at the end of the study (p<0.05). In relation to the GIQLI, a median of 100.61 points±21.624 was obtained. Abdominal bloating, regurgitation, and early satiety were the most frequent residual symptoms. The effect on lifestyle measured by the Visick scale was excellent.
  
  
  CONCLUSIONS
  The level of satisfaction and quality of life obtained were comparable with reported standards; and the residual symptoms after antireflux surgery were easily controlled.
authors.affiliation: Adscrito al Departamento de Cirugía General del Hospital General Zona N.° 1, Instituto Mexicano del Seguro Social, Colima, México. Electronic address: epdch@hotmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Prieto-Díaz-Chávez
authors.affiliation: Adscrito al Departamento de Cirugía General del Hospital General Zona N.° 1, Instituto Mexicano del Seguro Social, Colima, México.
authors.forename: J L
authors.initials: JL
authors.lastname: Medina-Chávez
authors.affiliation: Adscrito al Departamento de Cirugía General del Hospital General Zona N.° 1, Instituto Mexicano del Seguro Social, Colima, México.
authors.forename: C A
authors.initials: CA
authors.lastname: Brizuela-Araujo
authors.affiliation: Adscrito al Departamento de Cirugía General del Hospital General Zona N.° 1, Instituto Mexicano del Seguro Social, Colima, México.
authors.forename: M A
authors.initials: MA
authors.lastname: González-Jiménez
authors.affiliation: Adscrito al Departamento de Cirugía General del Hospital General Zona N.° 1, Instituto Mexicano del Seguro Social, Colima, México.
authors.forename: T E
authors.initials: TE
authors.lastname: Mellín-Landa
authors.affiliation: Adscrito al Departamento de Cirugía General del Hospital General Zona N.° 1, Instituto Mexicano del Seguro Social, Colima, México.
authors.forename: T S
authors.initials: TS
authors.lastname: Gómez-García
authors.affiliation: Adscrito al Departamento de Cirugía General del Hospital General Zona N.° 1, Instituto Mexicano del Seguro Social, Colima, México.
authors.forename: J
authors.initials: J
authors.lastname: Gutiérrez-Zamora
authors.affiliation: Adscrito a la Unidad de Investigación en Epidemiología Clínica, Hospital General Zona y Medicina Familiar N.° 1, Instituto Mexicano del Seguro Social, Colima, México.
authors.forename: B
authors.initials: B
authors.lastname: Trujillo-Hernández
authors.affiliation: Adscrito a la Unidad de Investigación en Epidemiología Clínica, Hospital General Zona y Medicina Familiar N.° 1, Instituto Mexicano del Seguro Social, Colima, México.
authors.forename: R
authors.initials: R
authors.lastname: Millan-Guerrero
authors.affiliation: Dirección de la Facultad de Medicina y Centro Universitario de Investigaciones Biomédicas, Universidad de Colima, Colima, México.
authors.forename: C
authors.initials: C
authors.lastname: Vásquez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003680:Deglutition Disorders / Q000453:epidemiology; D005260:Female; D018662:Fundoplication / Q000523:psychology*; D005764:Gastroesophageal Reflux / Q000523:psychology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011788:Quality of Life; D016896:Treatment Outcome; D055815:Young Adult
keywords: Calidad de vida; Funduplicatura de Nissen; Grado de satisfacción; Laparoscopia; Laparoscopy; Mexico; México; Nissen fundoplication; Patient satisfaction; Quality of life