QUALITY OF LIFE IN PATIENTS AFTER KNOWN METHODS OF ANTI-REFLUX SURGERY OF HIATAL HERNIAS

Authors:

Abstract:

To assess the quality of life, a retrospective study of the effectiveness of well-known methods of antireflux operations (Nissen, Toupet, Dor) was performed in 131 patients with hiatal hernias during a follow-up period of 2 to 4 years. According to the GERD-HRQL questionnaire, 21.6 % were dissatisfied with the Nissen fundoplication, Toupet – 19.0 %, and Dor – 15.0 %. According to MOS SF-36, patients' quality of life was worse after Nissen fundoplication (p<0.05). Complications were diagnosed more often after Nissen fundoplication (54.1 %, p<0.05). There was no significant difference (p>0.05) in the frequency of recurrences of hiatal hernias after fundoplications. According to the detection frequency, dysphagia, pylorospasm and dyspeptic disorders were diagnosed more often (p<0.05) after Nissen fundoplication than after Toupet and Dor. There was no significant difference in the detection frequency of esophageal strictures and reflux esophagitis (p>0.05).

Keywords:

hiatal hernia laparoscopic fundoplication results quality of life

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Publication:

«World of Medicine and Biology» Vol. 19 No. 84 (2023) , с. 28-33
УДК 616-079.8+616.34-007.43-31/616.329

DOI:

https://doi.org/10.26724/2079-8334-2023-2-84-28-33