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首页> 外文期刊>Surgical Endoscopy >Changes in functional gastrointestinal symptoms as a result of antireflux surgery.
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Changes in functional gastrointestinal symptoms as a result of antireflux surgery.

机译:抗反流手术导致功能性胃肠道症状的改变。

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BACKGROUND: This study identifies how functional symptoms are altered after antireflux surgery and whether there are any predictors of such change. METHODS: A total of 206 patients underwent successful laparoscopic Nissen fundoplication. A questionnaire was sent at a median of 4.3 years (range = 0.3-8.4) after fundoplication. Patients were asked to provide scores for reflux and functional symptoms that were experienced prior to surgery and at the time of the questionnaire. RESULTS: Eighty-one percent of patients responded. Scores for heartburn, regurgitation, and difficulty swallowing were felt to have significantly improved (p < 0.01). Flatulence was the only functional symptom to have significantly worsened (p < 0.01). A regression analysis incorporating prospectively collected data identified variables that were predictive of changes in functional symptoms following surgery. CONCLUSIONS: Flatulence was the only functional symptom to have worsened overall after surgery. Predictors of changes in functional symptoms may help clinicians when informing patients about gastrointestinal side effects following antireflux surgery.
机译:背景:这项研究确定了抗反流手术后功能性症状如何改变以及这种改变是否有任何预测因素。方法:共有206例患者成功进行了腹腔镜尼森胃底折叠术。胃底折叠术后中位数为4.3年(范围= 0.3-8.4),已发送问卷。要求患者提供手术前和问卷调查时所经历的反流和功能症状评分。结果:81%的患者有反应。感到烧心,反流和吞咽困难的评分有明显改善(p <0.01)。肠胃气胀是唯一明显恶化的功能性症状(p <0.01)。结合前瞻性收集数据的回归分析确定了可预测手术后功能症状变化的变量。结论:肠胃气胀是术后整体恶化的唯一功能性症状。当告知患者抗反流手术后的胃肠道副作用时,功能症状的变化预测指标可能会帮助临床医生。

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