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Efficacy of Laparoscopic Fundoplication for Gastroesophageal Reflux Disease in Neurologically Impaired Patients：Postoperative Quality of Life and Operative Outcomes
https://dmu.repo.nii.ac.jp/records/1493
https://dmu.repo.nii.ac.jp/records/149319f95790-7ad7-4087-ba06-26369f161904
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
DJMS-44-2-Ishimaru-本文 (170.8 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||
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| タイトル | ||||||||
| タイトル | Efficacy of Laparoscopic Fundoplication for Gastroesophageal Reflux Disease in Neurologically Impaired Patients：Postoperative Quality of Life and Operative Outcomes | |||||||
| 言語 | ||||||||
| 言語 | eng | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | gastroesophageal reflux disease | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | neurological impairment | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | laparoscopic surgery | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | quality of life | |||||||
| 資源タイプ | ||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||
| 資源タイプ | journal article | |||||||
| 著者 |
Ishimaru, Yuki
× Ishimaru, Yuki
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| 著者所属 | ||||||||
| Department of Pediatric Surgery, Dokkyo Medical University Koshigaya Hospital, | ||||||||
| 書誌情報 |
Dokkyo Journal of Medical Sciences 巻 44, 号 2, p. 141-150, 発行日 2017-07-25 |
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| 要旨 | ||||||||
| 内容記述タイプ | Other | |||||||
| 内容記述 | Disclosure：The author has no conflicts of interest to declare. Background/Purpose：Fundoplication is often required for managing intractable gastroesophageal reflux disease（GERD） in neurologically impaired patients（NIPs）. This study examines the efficacy of laparoscopic fundoplication for GERD in young and adult NIPs by interviewing caregivers and reviewing medical records to establish both patients and caregivers quality of life（QOL）. Patients and methods：Thirty-one NIPs who underwent laparoscopic fundoplication between April 2000 and December 2009 were enrolled in this study. Their symptoms, QOL, and satisfaction levels after the fundoplication were recorded by reviewing medical records and conducting a questionnaire survey. One pediatric surgeon conducted face-to-face or telephonic interviews with the caregivers. Results：No patients died during the immediate postoperative period；however, five （16.1％） of then died in the late postoperative period because of causes unrelated to the surgery. Of the surviving patients, five（16.1％） had complications, including GERD recurrence requiring further surgical intervention. Visick scores showed that gastrointestinal and respiratory symptoms had improved substantially after the fundoplication. Although body weights increased in 23 patients（92.0％）, no statistically significant changes were observed in the z-score for body weights before and after surgery. 92.0％ of the patients and 100％ of the caregivers had QOL improved ；patient satisfaction level was at 88.0％ and caregiver satisfaction level was at 76.0％ . Conclusions：Fundoplication is an effective method for controlling the symptoms of GERD in NIPs and improves the QOL of both NIPs and their caregivers. |
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| 記事種別 | ||||||||
| Original | ||||||||
| 出版者 | ||||||||
| 出版者 | 獨協医学会 | |||||||
| ISSN | ||||||||
| 収録物識別子タイプ | ISSN | |||||||
| 収録物識別子 | 03855023 | |||||||
| 書誌レコードID | ||||||||
| 収録物識別子タイプ | NCID | |||||||
| 収録物識別子 | AA00629581 | |||||||
| 表示順 | ||||||||
| 3 | ||||||||
