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Type: Journal article
Title: Gastroenterologists' views of symptoms following laparoscopic fundoplication: Anecdotally based medicine?
Author: Ludemann, R.
Watson, D.
De Beaux, A.
Jamieson, G.
Citation: ANZ Journal of Surgery, 2003; 73(12):996-999
Publisher: Blackwell Science Asia
Issue Date: 2003
ISSN: 1445-1433
Statement of
Robert Ludemann, David I. Watson, Andrew C. de Beaux and Glyn G. Jamieson
Abstract: Background: Currently gastro-oesophageal reflux disease (GORD) can be managed either medically or surgically. The management decision is often based on the referring doctor's perception of the pros and cons of surgical management versus the medical alternative. A large group of gastroenterologists was surveyed to determine their understanding of the common outcomes of surgical management of GORD. Methods: A 15-question survey was sent to all gastroenterologists in Australia who were members of the Gastroenterology Society of Australia. Questions centred on management decisions and postoperative symptoms in fundoplication patients. The findings were compared to current published outcome data. Results: One hundred and thirty-four gastroenterologists responded anonymously to the survey. More than 75% described fundoplication as a safe and established procedure, and 80% had referred patients who were well controlled on medication for surgical management. The gastroenterologists’ perceptions of the problems of postoperative dysphagia and bloating differed from published outcomes. Conclusions: Gastroenterologists are often the gatekeepers for the management of patients with GORD. The understanding that this group has about surgical outcomes is important so that patients can make well-informed management decisions. The present study found that gastroenterologists are likely to convey to their patients higher degrees of postoperative dysphagia and bloating following fundoplication than is actually reported. This may deter some patients who would benefit from fundoplication from consulting a surgeon.
Keywords: fundoplication
DOI: 10.1046/j.1445-2197.2003.t01-6-.x
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Appears in Collections:Aurora harvest 7
Surgery publications

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