Document Type
Article
Publication Date
Summer 6-5-2024
Abstract
Introduction: Hiatal hernia repair (HHR) effectively treats gastroesophageal reflux disease (GERD) but some patients experience incomplete symptom relief. Weight loss can improve GERD symptoms, but its impact on HHR outcomes is unclear. This study investigates the association between preoperative weight loss and postoperative patient satisfaction following laparoscopic HHR surgery.
Methods: A prospective survey analysis evaluated 36 patients who underwent HHR surgery, categorized by preoperative weight loss (n=9) or no weight loss (n=27). Postoperative experiences and GERD-HRQoL scores were assessed.
Results: No significant differences were observed in surgical outcomes or complication rates between groups. However, patients who lost weight preoperatively reported less improvement in symptoms and higher heartburn prevalence compared to those with stable weight. GERD-HRQoL scores supported these findings, with the weight loss group trending towards a "fair" category compared to "excellent" or "good" in the non-weight loss group.
Conclusions: Preoperative weight loss may be associated with suboptimal postoperative outcomes following HHR. Further research is needed to confirm this association and explore potential underlying mechanisms. Understanding these factors could optimize patient selection and counseling for improved HHR outcomes.
Recommended Citation
Elizondo, Victoria; Lim, Joseph; Patel, Mahir; Patel, Angeli; and Jeyarajah, Rohan, "Beware of weight loss as a symptom: Investigating Quality of Life After Hiatal Hernia Repair" (2024). MEDI 8127 Scholarly Activities Pre-Clerkship. 68.
https://scholarworks.utrgv.edu/som8127/68
Academic Level
medical student