Psychological Factors and Laparoscopic Nissen Fundoplication Outcomes
Author Information
Author(s): Biertho Laurent, Sanjeev Dutta, Sebajang Herawati, Antony Marty, Anvari Mehran
Primary Institution: Centre for Minimal Access Surgery, St. Joseph's Healthcare, McMaster University, Hamilton, ON, Canada
Hypothesis
Psychological factors may influence surgical outcomes after laparoscopic Nissen fundoplication for GERD.
Conclusion
The SCL-90-R Somatization Subset may help predict poor outcomes after antireflux surgery.
Supporting Evidence
- 7 patients in the LNF Group had persisting GERD symptoms at 6 months.
- The preoperative SCL-90-R score was significantly higher in patients with ongoing symptoms.
- There was a significant decrease in GERD symptoms score in the LNF Group after surgery.
Takeaway
This study looked at how feelings and mental health can affect surgery for heartburn. It found that some patients who still had heartburn after surgery had more mental health issues.
Methodology
A prospective controlled trial comparing patients undergoing laparoscopic Nissen fundoplication for GERD to those undergoing laparoscopic cholecystectomy, with psychological assessments conducted preoperatively and at 3 and 6 months post-surgery.
Potential Biases
Patients with known psychiatric disorders were excluded, which may limit the generalizability of the findings.
Limitations
The study was limited to a single institution and had a small sample size.
Participant Demographics
LNF Group: 17 patients (13 females, 4 males); Control Group: 10 patients (9 females, 1 male).
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website