{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:31:24Z","timestamp":1772987484528,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"content-version":"vor","delay-in-days":127,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Laparoscopic hiatal hernia repair (LHHR) is the treatment of choice for symptomatic sliding hiatal hernia. This study evaluates health\u2010related quality of life (HRQOL) outcomes following LHHR with anterior 180\u00b0 partial fundoplication.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Forty consecutive patients underwent LHHR with anterior 180\u00b0 partial fundoplication between June 2020 and December 2022. Patients were included based on one of the following criteria: persistent symptoms despite optimal medical therapy (55%), preference for a surgical solution over lifelong medication (37.5%), or complications including reflux oesophagitis\/Barrett's esophagus (7.5%). HRQOL was assessed using the SF\u201036 questionnaire preoperatively and at 1, 6, and 12\u2009months postoperatively.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Significant improvements were observed in physical functioning (66.3\u2009\u00b1\u200924.7 to 95.6\u2009\u00b1\u20097.7,\n p<\/jats:italic>\n \u2009<\u20090.001), bodily pain (38.1\u2009\u00b1\u200928.1 to 79.2\u2009\u00b1\u200918.6,\n p<\/jats:italic>\n \u2009<\u20090.001), general health (37.7\u2009\u00b1\u200916.2 to 66.1\u2009\u00b1\u200923.6,\n p<\/jats:italic>\n \u2009<\u20090.001), social function (62.5\u2009\u00b1\u200923.7 to 85.6\u2009\u00b1\u200916.1,\n p<\/jats:italic>\n \u2009<\u20090.001), and mental health (68.2\u2009\u00b1\u200921.4 to 83.7\u2009\u00b1\u200912.5,\n p<\/jats:italic>\n \u2009<\u20090.001) at 12\u2009months. Role limitations due to physical health improved gradually, becoming significant at 12\u2009months (60.0\u2009\u00b1\u200945.6 to 86.9\u2009\u00b1\u200916.8,\n p<\/jats:italic>\n \u2009<\u20090.001). Early improvements in vitality (\n p<\/jats:italic>\n \u2009=\u20090.02) and role limitations due to emotional health (\n p<\/jats:italic>\n \u2009=\u20090.331) showed some decline by 12\u2009months. The median hospital stay was 3\u2009days, with no major complications. At 1\u2009year, 72.5% of patients were medication\u2010free, while anatomical recurrence was observed in 7.5%. Patients with recurrence showed lower physical functioning (82.3 vs. 96.8,\n p<\/jats:italic>\n \u2009=\u20090.02) and bodily pain scores (65.7 vs. 80.5,\n p<\/jats:italic>\n \u2009=\u20090.04) but still demonstrated significant improvement from baseline. Body mass index, education level, age, and defect area did not influence outcomes (all\n p<\/jats:italic>\n \u2009>\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n LHHR with anterior 180\u00b0 partial fundoplication significantly improves quality of life across multiple domains, with sustained benefits at 12\u2009months post\u2010surgery, particularly in physical function, pain, and social functioning. Most domains reached or surpassed population norms by 12\u2009months, establishing this approach as an effective treatment for symptomatic sliding hiatal hernia.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ases.70074","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T01:05:01Z","timestamp":1746752701000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Quality of Life Following Laparoscopic Hiatal Hernia Repair and Anterior 180\u00b0 Partial Fundoplication for Symptomatic Sliding Hiatal Hernia"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0341-5183","authenticated-orcid":false,"given":"Sze Li","family":"Siow","sequence":"first","affiliation":[{"name":"Department of General Surgery Hospital Umum Sarawak, Ministry of Health Malaysia Kuching Malaysia"},{"name":"Department of Surgery Taylor's University School of Medicine Subang Jaya Malaysia"},{"name":"Department of Surgery, Faculty of Medicine and Health Sciences Universiti Malaysia Sarawak Kota Samarahan Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5269-3991","authenticated-orcid":false,"given":"Ernest Cun Wang","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of General Surgery National Cancer Institute, Ministry of Health Malaysia Putrajaya Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2007.12.007"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010013\u20103173\u20103"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-015-0519-6"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12740"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2015.00104"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07404-y"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/110241500750008565"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0002\u20109343(97)00354\u20109"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-002-6416-3"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-015-2970-3"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-002-9229-4"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2012.05086.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199606000-00006"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2005.02608.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00191963"},{"issue":"4","key":"e_1_2_8_17_1","first-page":"481","article-title":"Biologic Prosthesis Reduces Recurrence After Laparoscopic Paraesophageal Hernia Repair: A Multicenter, Prospective, Randomized Trial","volume":"244","author":"Oelschlager B. 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