{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T07:53:55Z","timestamp":1775030035486,"version":"3.50.1"},"reference-count":33,"publisher":"Royal College of Surgeons of England","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> This is the second report on objective review of 100 patients who underwent composite fundoplication-cardiopexy for repair of giant hiatus hernia (GHH) at a median of 24 months following surgery. Outcomes were objective follow-up by endoscopy and quality of life (QoL) by Gastrointestinal Quality of Life Index (GIQLI), modified Visick scores and dysphagia scores. The initial report for this cohort suggested a low objective recurrence rate (9%) and substantial improvements in QoL indices. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> The rate of hernia recurrence was assessed with Kaplan\u2013Meier analysis and covariates were analysed with the Cox proportional hazards model. Paired t-tests and related samples Wilcoxon signed-rank tests were used to compare QoL scores. Unpaired data were compared with the independent samples t-test and Mann\u2013Whitney U test. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Objective review was obtained in 97% of the patients. There were five recurrences of hernias that had a vertical height of &gt;2cm from the diaphragmatic hiatus, with three patients requiring reoperation for severe dysphagia. Small recurrences (&lt;2cm) occurred in 20 patients. The median time to recurrence was 40 months (95% confidence interval: 34\u201346 months). At two years, recurrence of any size had occurred in 24% of cases. At follow-up review (median: 27 months), the mean GIQLI score was 109 (p=0.279), the median modified Visick score was 2 (p=0.954) and the median dysphagia score was 41 (p=0.623). There was no evidence that the GIQLI score (p=0.089), the modified Visick score (p=0.339) or the dysphagia score (p=0.445) changed significantly after recurrence. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> There was a sustained improvement in overall QoL and reflux scores after GHH repair. QoL scores showed persistent improvement in reflux and overall health, even in the subgroup with recurrence. The majority (80%) of recurrences were small and recurrent herniation did not appear to significantly change QoL. The rates of recurrence and QoL are comparable with those for other methods of repair. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2016.0156","type":"journal-article","created":{"date-parts":[[2016,7,7]],"date-time":"2016-07-07T13:29:03Z","timestamp":1467898143000},"page":"450-455","source":"Crossref","is-referenced-by-count":15,"title":["Medium-term durability of giant hiatus hernia repair without mesh"],"prefix":"10.1308","volume":"98","author":[{"given":"RV","family":"Furtado","sequence":"first","affiliation":[{"name":"Concord Repatriation General Hospital, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SJ","family":"Vivian","sequence":"additional","affiliation":[{"name":"Sydney Heartburn Clinic, Lindfield, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"van der Wall","sequence":"additional","affiliation":[{"name":"Concord Nuclear Imaging, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GL","family":"Falk","sequence":"additional","affiliation":[{"name":"Concord Repatriation General Hospital, NSW, Australia"},{"name":"Sydney Heartburn Clinic, Lindfield, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.45.6.791"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(96)00008-6"},{"key":"bib3","first-page":"481","volume":"244","author":"Oelschlager BK","year":"2006","journal-title":"Ann Surg"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-012-1920-8"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-013-2397-9"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2501-3"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1080\/00365520801935467"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800820229"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-199203000-00004"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2009.03.008"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(96)00075-X"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4916"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-8823-4"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-010-1308-6"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(00)00260-X"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.6.649"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2011.05.017"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e318253e440"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1095-x"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-0205-5"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-007-0316-7"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000842"},{"key":"bib23","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-2047-0"},{"key":"bib24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.10.005"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2008.05.005"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-004-2275-3"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.1308\/003588414X14055925060839"},{"key":"bib28","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8870"},{"key":"bib29","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7174"},{"key":"bib30","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800641203"},{"key":"bib31","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2012.07199.x"},{"key":"bib32","doi-asserted-by":"publisher","DOI":"10.1097\/01.mcg.0000225678.99346.65"},{"key":"bib33","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1999.01277.x"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2016.0156","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:14:51Z","timestamp":1684145691000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2016.0156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9]]},"references-count":33,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1308\/rcsann.2016.0156"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2016.0156","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9]]}}}