{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T17:45:20Z","timestamp":1783532720538,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2019,10,16]],"date-time":"2019-10-16T00:00:00Z","timestamp":1571184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Laparoscopic fundoplication is an effective treatment for gastro\u2010oesophageal reflux disease (GERD). We aimed to assess quality of life (QoL), long\u2010term residual symptoms, patient satisfaction and use of acid\u2010suppression medication at 5, 10 and 20\u2009years after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We identified a cohort of 100 patients who underwent laparoscopic fundoplication between 1993 and 1998. The validated QoL questionnaires Short Form health survey (SF\u201036), and Quality\u2010of\u2010Life in Reflux and Dyspepsia (QOLRAD), as well as a specific questionnaire regarding post\u2010fundoplication symptoms, were sent to the patients at 5, 10 and 20\u2009years after surgery. Furthermore, patients who reported using the acid\u2010suppression medication after 20\u2009years were interviewed by telephone regarding their reason for taking it.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010eight percent of the patients responded at 5 and 10\u2009years post\u2010surgery. Twenty years following fundoplication, 68 (84% of those still alive) patients completed the questionnaires. The patients had equivalent health\u2010related QoL scores in both the QOLRAD and SF\u201036 questionnaires after 10 and 20\u2009years, and those scores were in line with a Swedish age\u2010matched population. After 20\u2009years, 87% were satisfied with the results, and 84% of the patients would recommend reflux surgery to a relative or a friend. At the telephone interview, 32% (22\/68) confirmed using acid\u2010suppression medication, but only half (11\/68) used it because of reflux symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The long\u2010term, satisfying outcomes in GERD symptoms and QoL 5 and 10\u2009years after surgery were maintained at a 20\u2010year follow\u2010up. Half of the patients used acid\u2010suppression medication for reasons other than GERD symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15471","type":"journal-article","created":{"date-parts":[[2019,10,17]],"date-time":"2019-10-17T00:01:37Z","timestamp":1571270497000},"page":"76-80","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Quality of life and gastric acid\u2010suppression medication 20\u2009years after laparoscopic fundoplication"],"prefix":"10.1111","volume":"90","author":[{"given":"Magnus","family":"Campanello","sequence":"first","affiliation":[{"name":"Department of Surgery Halland Hospital Varberg  Region Halland Sweden"},{"name":"Department of Surgery Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Westin","sequence":"additional","affiliation":[{"name":"Department of Surgery Halland Hospital Varberg  Region Halland Sweden"},{"name":"Department of Surgery Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Unosson","sequence":"additional","affiliation":[{"name":"Department of General Surgery Uppsala University Hospital  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Lindskog","sequence":"additional","affiliation":[{"name":"Department of Surgery Halland Hospital Varberg  Region Halland Sweden"},{"name":"Department of Surgery Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02653255"},{"key":"e_1_2_7_3_1","first-page":"138","article-title":"Laparoscopic Nissen fundoplication: preliminary report","volume":"1","author":"Dallemagne B","year":"1991","journal-title":"Surg. 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