Patients Engaged in Losing Weight Preoperatively Experience Improved Outcomes After Hiatal Hernia Repair.

IF 1.2 4区 医学 Q3 SURGERY
Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-06-22 DOI:10.1177/15533506241264371
Justin J Turcotte, Yu-Wei W Chang, Adrian E Park
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引用次数: 0

Abstract

Background: Adherence to preoperative weight loss recommendations may serve as a surrogate for the level of engagement in hiatal hernia (HH) patients. This study aims to evaluate the relationship between achieving preoperative weight loss goals and outcomes after HH repair.

Methods: A retrospective review of 235 patients undergoing laparoscopic HH repair at a single institution was performed. Patients were grouped based on the percentage of weight loss goal achieved. Low achievement was defined as the bottom quartile of goal achievement (≤75%); high achievement was defined as the top quartile (≥140%). Baseline characteristics, clinical outcomes, and patient reported outcomes (PROMs) were compared between groups.

Results: 131/235 (55.7%) achieved their weight loss goal. No differences in baseline characteristics or clinical outcomes were observed between the low and high achievement groups. While both groups experienced improvements in PROMs postoperatively, patients in the high achievement group demonstrated significantly lower symptom burden at one-month postoperatively. Further, high-achievement patients were more likely to experience complete resolution of common HH symptoms at one-month postoperatively, including no difficulty swallowing food, no breathing difficulties or choking episodes, no choking when eating food, no choking when drinking liquid, and no regurgitation of food or liquid.

Conclusions: In patients undergoing laparoscopic HH repair, patients achieving their preoperative weight loss goals experienced less overall symptom burden and lower prevalence of common symptoms one-month postoperatively than those with low levels of goal achievement. These results demonstrate that patients can take an active role in improving their own surgical outcomes and health status.

术前减肥的患者贲门疝修补术后效果更好
背景:坚持术前减肥建议可作为食管裂孔疝(HH)患者参与程度的替代指标。本研究旨在评估实现术前减肥目标与 HH 修复术后效果之间的关系:方法:对在一家医疗机构接受腹腔镜 HH 修复术的 235 名患者进行了回顾性研究。根据实现减重目标的百分比对患者进行分组。目标达成率低的定义为目标达成率的下四分位数(≤75%);目标达成率高的定义为目标达成率的上四分位数(≥140%)。对各组的基线特征、临床结果和患者报告结果(PROMs)进行了比较:结果:131/235(55.7%)人实现了减肥目标。在基线特征或临床结果方面,低达成率组和高达成率组之间没有发现差异。虽然两组患者术后的 PROMs 都有所改善,但高成就组患者术后一个月的症状负担明显减轻。此外,高成就患者更有可能在术后一个月完全消除常见的HH症状,包括吞咽食物无困难、无呼吸困难或呛咳发作、进食时无呛咳、饮用液体时无呛咳、无食物或液体反流:结论:在接受腹腔镜 HH 修复术的患者中,达到术前减肥目标的患者术后一个月的总体症状负担较轻,常见症状的发生率也较低。这些结果表明,患者可以在改善自身手术效果和健康状况方面发挥积极作用。
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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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