Correlation Between Preoperative Symptoms and Postoperative Patient Satisfaction after Laparoscopic Nissen Fundoplication

Introduction: Management of Gastroesophageal reflux (GERD) disease involves either use of medical therapyas proton pump inhibitors or anti-reflux surgery. Nissen fundoplication is considered the golden surgery of choicehowever studies about postoperative improvement of symptoms are limited.Aim of work: To assess improvement of preoperative reflux symptoms and patient satisfaction after Nissenfundoplication.Patients and methods: This is a prospective study conducted in surgery department. Included were eighteenpatients diagnosed with GERD and hiatal hernia who were operated on with laparoscopic Nissen fundoplicationfrom September 2023 to December 2024. Evaluation of pre-operative and post-operative symptoms severity andpatient satisfaction was subjectively performed at 3 month, six month and one year.Results: One year postoperative follow up indicated substantial improvement in preoperative symptoms overtime. Heartburn and regurgitation showed significant resolution, with complete relief reaching 94.4%. Epigastricpain improved markedly, with 77.7% of patients reporting complete resolution. Chronic cough, sore throat, andeructation also showed notable improvements, with resolution rates of 75%, 87.5%, and 85.7%, respectively. Thelater findings indicated lower influence of Laparoscopic Nissen Fundoplication in improving atypical symptoms ofreflux.Conclusion: Laparoscopic Nissen Fundoplication demonstrates significant benefits in alleviating reflux manifestationand improving life quality of the patient, but with lesser improvement in reflux atypical symptoms. Incorporatingthese findings into more trials and advancing research can result in finding better management strategies andimproved patient outcomes.