- FRIDAY, May 23 (HealthDay News) — High levels of patient
satisfaction and low rates of re-surgery were found in patients with
gastroesophageal reflux disease (GERD) who had minimally invasive
laparoscopic fundoplication (anti-reflux surgery) performed by an
experienced surgeon, says a U.S. study.

Studies have shown the short-term effectiveness of laparoscopic
anti-reflux surgery, but the results of longer-term studies have been
varied, according to background information in the study by researchers at
Massachusetts General Hospital and Harvard Medical School.

The study included 191 patients, average age 52, who had primary (173
patients) or revision (18 patients) laparoscopic anti-reflux surgery by
the same surgeon between 1997 and 2006.

After the procedure, the patients provided information about their
quality of life, use of anti-reflux medication, the need for postoperative
intervention, satisfaction, and willingness to have the operation again.
The median duration of follow-up was five years.

The study found that 71 percent of patients who had primary anti-reflux
surgery were satisfied with their long-term results, compared with 35
percent of patients who had revision anti-reflux surgery. But the majority
of patients in both groups (88 percent who had primary surgery and 76 who
had redo surgery) said they'd be willing to have the surgery again.

“Only three patients (1.2 percent) required re-operation,” the study
authors wrote. “Patients with body-mass indexes (BMIs) between 25 and 35
had lower GERD-HRQL (health-related quality of life) scores than thin and
morbidly obese patients.”

The findings were published in the May issue of the Archives of
Surgery.

“In contrast to reports in the medical literature, the results of this
study demonstrate that most patients undergoing primary laparoscopic
fundoplication by an experienced surgical team have near normal GERD-HRQL
scores at long-term follow-up and low re-operation rates and are satisfied
with their decision to undergo surgery. In addition, BMI appears to be an
important factor when predicting long-term outcomes,” the study authors
concluded.

“Results following redo laparoscopic fundoplication are not as good,
highlighting the importance of proper patient selection and surgical
technique when performing primary laparoscopic fundoplication.”

More information

The American College of Gastroenterology has more about GERD.