Authors: Tomoyuki Irino Hiroya Takeuchi Soji Ozawa Yoshiro Saikawa Takashi Oyama Kunihiko Hiraiwa Takahisa Yoshikawa Masaki Kitajima Yuko Kitagawa
Publish Date: 2010/11/26
Volume: 40, Issue: 12, Pages: 1137-1143
Abstract
Laparoscopic antireflux surgery LARS is a feasible treatment for gastroesophageal reflux disease GERD patients but it is unclear who will benefit from the surgery This study investigated patients’ GERDspecific quality of life GsQOL and analyzed the factors leading to the performance of successful LARSTwentysix 578 of 45 consecutive patients who underwent LARS for GERD during the last decade were enrolled All patients were evaluated by 24h pH monitoring esophageal manometry esophagogastroduodenoscopy and physical examinations GsQOL was assessed by a visual analog scale and the difference between the pre and postoperative scores was defined as the visual analog scale improvement score VASIS The patients were classified into three groups based on the VASIS and their clinical factors and surgical outcomes were comparedThe high VASIS group patients 70 VASIS Excellent group patients were significantly younger and obese in comparison to low the VASIS group 30 VASIS Poor group consisting of older nonobese patients P 005 A multiple regression analysis revealed that age 60 years and body mass index BMI 25 kg/m2 were significant factors that affected postoperative GsQOL No other clinical or surgical factors had any influence on the postoperative GsQOL
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