Changes in the disease-specific quality of life following Dor fundoplication. A multicentre cross-sectional study

Loo GH 1 , Rajan R 2 , Deva Tata M 3 , Ritza Kosai N 4

Affiliations 

  • 1 Surgical Trainee, Department of General Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia
  • 2 Consultant Bariatric Surgeon Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia
  • 3 Consultant Upper Gastrointestinal & Bariatric SurgeonDepartment of Surgery, Tuanku Ja'afar Hospital Jalan Rasah, Bukit Rasah, Seremban, 70300, Negeri Sembilan, Malaysia
  • 4 Consultant Upper Gastrointestinal & Bariatric Surgeon, Head of Unit of Upper Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia
Ann Med Surg (Lond), 2020 Jul;55:252-255.
PMID: 32528674 DOI: 10.1016/j.amsu.2020.05.018

Abstract

Background: Gastrooesophageal reflux disease (GERD) is a spectrum of symptoms arising from the laxity of the cardio-oesophageal junction. Anti-reflux surgery is reserved for patients with refractory GERD. Anterior partial fundoplication (Dor) is a regularly performed anti-reflux surgery in Malaysia. We intend to determine the improvement in disease-specific quality of life in our patients after surgery.

Methods: A multicentre cross-sectional study was conducted to assess patients' improvement in disease-specific quality of life after Dor fundoplication. Ethics approval was obtained from our institutional review board. Patients between the ages of 18 and 65 years who underwent Dor fundoplication within the past five years were assessed using the GERD HRQL as well as the VISICK score via telephone interview. We excluded cases of revision surgery.

Results: Out of 129 patients screened, 55 patients were included. We found a significant improvement in patients' GERD HRQL score with the pre-operative mean score of 28.3 ± 9.39 and 6.55 ± 8.52 post-operatively, p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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