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Evaluation of Clinical Outcome after Laparoscopic Antireflux Surgery in Clinical Practice : Still a Controversial Issue
Joint Authors
Contini, Sandro
Scarpignato, Carmelo
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-09-11
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Laparoscopic antireflux surgery has shown to be effective in controlling gastroesophageal reflux (GERD).
Yet, a universally accepted definition and evaluation for treatment success/failure in GERD is still controversial.
The purpose of this paper is to assess if and how the outcome variables used in the different studies could possibly lead to an homogeneous appraisal of the limits and indications of LARS.
Methods.
We analyzed papers focusing on the efficacy and outcome of LARS and published in English literature over the last 10 years.
Results.
Symptoms scores and outcome variables reported are dissimilar and not uniform.
The most consistent parameter was patient's satisfaction (mean satisfaction rate: 88.9%).
Antireflux medications are not a trustworthy outcome index.
Endoscopy and esophageal manometry do not appear very helpful.
Twenty-four hours pH metry is recommended in patients difficult to manage for recurrent typical symptoms.
Conclusions.
More uniform symptoms scales and quality of life tools are needed for assessing the clinical outcome after laparoscopic antireflux surgery.
In an era of cost containment, objective evaluation tests should be more specifically addressed.
Relying on patient's satisfaction may be ambiguous, yet from this study it can be considered a practical and simple tool.
American Psychological Association (APA)
Contini, Sandro& Scarpignato, Carmelo. 2011. Evaluation of Clinical Outcome after Laparoscopic Antireflux Surgery in Clinical Practice : Still a Controversial Issue. Minimally Invasive Surgery،Vol. 2011, no. 2011, pp.1-8.
https://search.emarefa.net/detail/BIM-493659
Modern Language Association (MLA)
Contini, Sandro& Scarpignato, Carmelo. Evaluation of Clinical Outcome after Laparoscopic Antireflux Surgery in Clinical Practice : Still a Controversial Issue. Minimally Invasive Surgery No. 2011 (2011), pp.1-8.
https://search.emarefa.net/detail/BIM-493659
American Medical Association (AMA)
Contini, Sandro& Scarpignato, Carmelo. Evaluation of Clinical Outcome after Laparoscopic Antireflux Surgery in Clinical Practice : Still a Controversial Issue. Minimally Invasive Surgery. 2011. Vol. 2011, no. 2011, pp.1-8.
https://search.emarefa.net/detail/BIM-493659
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-493659