Correlation Between Preoperative Symptoms and Postoperative Patient Satisfaction after Laparoscopic Nissen Fundoplication

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine, Menoufia University, Egypt

Abstract

Introduction: Management of Gastroesophageal reflux (GERD) disease involves either use of medical therapy
as proton pump inhibitors or anti-reflux surgery. Nissen fundoplication is considered the golden surgery of choice
however studies about postoperative improvement of symptoms are limited.
Aim of work: To assess improvement of preoperative reflux symptoms and patient satisfaction after Nissen
fundoplication.
Patients and methods: This is a prospective study conducted in surgery department. Included were eighteen
patients diagnosed with GERD and hiatal hernia who were operated on with laparoscopic Nissen fundoplication
from September 2023 to December 2024. Evaluation of pre-operative and post-operative symptoms severity and
patient satisfaction was subjectively performed at 3 month, six month and one year.
Results: One year postoperative follow up indicated substantial improvement in preoperative symptoms over
time. Heartburn and regurgitation showed significant resolution, with complete relief reaching 94.4%. Epigastric
pain improved markedly, with 77.7% of patients reporting complete resolution. Chronic cough, sore throat, and
eructation also showed notable improvements, with resolution rates of 75%, 87.5%, and 85.7%, respectively. The
later findings indicated lower influence of Laparoscopic Nissen Fundoplication in improving atypical symptoms of
reflux.
Conclusion: Laparoscopic Nissen Fundoplication demonstrates significant benefits in alleviating reflux manifestation
and improving life quality of the patient, but with lesser improvement in reflux atypical symptoms. Incorporating
these findings into more trials and advancing research can result in finding better management strategies and
improved patient outcomes.

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Ain Shams Journal of Surgery
Volume 18, Issue 2
April 2025
Pages 143-149

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