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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1365_Библиотеки_им_академика_М_И_Перельмана.pdf
SF-36 QUESTIONNAIRE
_
LIMITATIONS OF ACTIVITIES
The following items are about activities you might do during a typical day. Does your health now limit you
in these activities? If so, how much?
Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
Lifting or carrying groceries
Climbing several flights of stair
Climbing one flight of stairs
Bending, kneeling, or stooping
Walking more than a mil
Walking several blocks
Walking one block
19 Quality ofLife Following Laparoscopic Antireux Surgery forPrimary
Name:____________________ Ref. Dr:___________________ Date: ______
ID#: _______________ Age: _______ Gender: M / F
Please answer the 36 questions of the Health Survey completely, honestly, and without interruptions.
GENERAL HEALTH:
In general, would you say your health is:
Excellent Very Good Good Fair Poor
Compared to one year ago, how would you rate your health in general now?
Much better now than one year ago
Somewhat better now than one year ago
About the same
Somewhat worse now than one year ago
Much worse than one year ago
:
.
Yes, Limited a lot Yes, Limited a LittleNo, Not Limited at all
295
Yes, Limited a Lot Yes, Limited a LittleNo, Not Limited at all
Yes, Limited a Lot Yes, Limited a Little
s
Yes, Limited a Lot
Yes, Limited a Lot Yes, Limited a Little
Yes, Limited a Lot Yes, Limited a Little
Yes, Limited a Lot Yes, Limited a Little
Yes, Limited a Lot Yes, Limited a Little
Yes, Limited a Lot Yes, Limited a Little
e
Yes, Limited a Little
No, Not Limited at all
No, Not Limited at all
No, Not Limited at all
No, Not Limited at all
No, Not Limited at all
No, Not Limited at all
No, Not Limited at all
296
Bathing or dressing yourself
PHYSICAL HEALTH PROBLEMS:
During the past 4 weeks, have you had any of the following problems with your work or other regular daily
activities as a result of your physical health?
Cut down the amount of time you spent on work or other activities
Accomplished less than you would like
Were limited in the kind of work or other activities
Had difficulty performing the work or other activities (for example, it took extra effort
EMOTIONAL HEALTH PROBLEMS:
During the past 4 weeks, have you had any of the following problems with your work or other regular daily
activities as a result of any emotional problems (such as feeling depressed or anxious)?
Cut down the amount of time you spent on work or other activities
Accomplished less than you would like
Didn't do work or other activities as carefully as usual
SOCIAL ACTIVITIES:
Emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?
PAIN:
How much bodily pain have you had during the past 4 weeks?
During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the
home and housework)
Yes, Limited a Lot Yes, Limited a LittleNo, Not Limited at all
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Not at all Slightly Moderately Severe Very Severe
I. Kellokumpu and E. Sihvo
)
None Very MildMild Moderate Severe Very Severe
?
Not at all A little bit Moderately Quite a bit Extremely
ENERGY AND EMOTIONS:
These questions are about how you feel and how things have been with you during the last 4 weeks. For each
question, please give the answer that comes closest to the way you have been feeling.
Did you feel full of pep?
Have you been a very nervous person?
Have you felt so down in the dumps that nothing could cheer you up?
Have you felt calm and peaceful
Did you have a lot of energy?
19 Quality ofLife Following Laparoscopic Antireux Surgery forPrimary
All of the time
Most of the time
A good Bit of the Time
Some of the time
A little bit of the time
None of the Time
All of the time
Most of the time
A good Bit of the Time
Some of the time
A little bit of the time
None of the Time
All of the time
Most of the time
A good Bit of the Time
Some of the time
A little bit of the time
None of the Time
?
All of the time
Most of the time
A good Bit of the Time
Some of the time
A little bit of the time
None of the Time
297
All of the time
Most of the time
A good Bit of the Time
Some of the time
A little bit of the time
None of the Time
298
Have you felt downhearted and blue?
Did you feel worn out
Have you been a happy person?
Did you feel tired?
SOCIAL ACTIVITIES:
During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with
your social activities (like visiting with friends, relatives, etc.)
GENERAL HEALTH:
How true or false is each of the following statements for you?
I seem to get sick a little easier than other people
efinitely false
efinitely false
efinitely false
efinitely false
I am as healthy as anybody I know
I expect my health to get worse
My health is excellent
All of the time
Most of the time
A good Bit of the Time
Some of the time
A little bit of the time
None of the Time
All of the time
Most of the time
A good Bit of the Time
Some of the time
A little bit of the time
None of the Time
All of the time
Most of the time
A good Bit of the Time
Some of the time
A little bit of the time
None of the Time
All of the time
Most of the time
A good Bit of the Time
Some of the time
A little bit of the time
None of the Time
I. Kellokumpu and E. Sihvo
?
?
All of the time
Most of the time
Some of the time
A little bit of the time
None of the Time
Definitely true Mostly true Don't know Mostly falseD
Definitely true Mostly true Don't know Mostly falseD
Definitely true Mostly true Don't know Mostly falseD
Definitely true Mostly true Don't know Mostly falseD
19 Quality ofLife Following Laparoscopic Antireux Surgery forPrimary
299
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27. Kamolz T, Granderath FA, Schweiger UM, Pointner R.Laparoscopic Nissen fundoplication
in patients with nonerosive reux disease. Long-term quality-of-life assessment and surgical
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28. Broeders JA, Draaisma WA, Bredenoord AJ, Smout AJ, Broeders IA, Gooszen HG.Longterm outcome of Nissen fundoplication in non-erosive and erosive gastro-oesophageal reux
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30. Broeders JA, Rijnhart-de Jong HG, Draaisma WA, Bredenoord AJ, Smout AJ, Gooszen
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31. Dallemagne B, Weertz J, Markiewicz S, Dewandre JM, Wahlen C, Monami B, Jehaes
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32. Fein M, Bueter M, Thalheimer A, Pachmayer V, Heimbucher J, Freys SM, Fuchs KH.Ten year
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301
Index
A
Absorbable mesh, 137
Acid-suppressive therapy, 61
Ambulatory reux monitoring, 37, 40, 41
American Society of Anaesthesiologists
(ASA), 133, 205
Anatomic recurrence, 238
Animal-tissue mesh, 137
Anterior vs. posterior fundoplication, 93, 98
bloating and wind-related side effects, 100
durability, 99
dysphagia side effects, 99
LAF, 96, 97
LPF, 98
medical management vs. surgery, 99
preoperative evaluation, 94
reux symptoms, control of, 101
Anti-reux mucosectomy (ARMS), 114, 119
Anti-reux structure, 155
Anti-reux surgery, 17, 24, 30, 33, 42, 51, 59,
61, 93, 94, 99, 100, 281, 287
effectiveness measurement, 282
quality of life, 286
redo fundoplication, 290
Automated endoscopic system of optimal
positioning (AESOP), 271
Automated impedance manometry (AIM),
183, 190
B
Bariatric surgery, 227
Barium esophagogram
after fundoplication, 159
herniation, 159, 160
slipped wrap, 159, 160
Barium esophagram, 77, 213
Barium swallow, 171, 201. See
Videouoroscopy
Barrett esophagus, 18, 34, 52, 64, 80, 111,
116, 117, 127, 134
Biologic mesh vs. suture crural repair, 146
Bochdalek hernias, 64
Body mass index (BMI), 33, 116, 223
Bolus ow time (BFT), 184, 188
Borchardt’s triad, 200
Bravo pH capsule, 95, 107
C
Cameron’s ulcer, 199
Catheter-based pH monitoring, 53
Chest lm lateral view, 126
Chief complaints, of patients, 200
Chromo-endoscopy, 119
Collis lengthening procedure, 260
Collis-Nissen procedure, 261
Colopleural stula, 200
Computed tomography (CT), 63, 202, 225
Contractile deceleration point (CDP), 186
Conventional laparoscopy (CL), 271
Conventional Nissen fundoplication
(CNF), 287
Crural closure, 244–245
Crural diaphragm (CD), 186
Cruroplasty, 136, 198
D
Da Vinci surgical system, 272
De Mester symptom score, 283
Decision making, 206
M.A. Memon (ed.), Hiatal Hernia Surgery,
https://doi.org/10.1007/978-3-319-64003-7
303© Springer International Publishing AG 2018
304
Index
Deglutitive LES relaxation, 186
DeMeester Composite Score, 56
Diaphragmatic tension, 245
Dissatised failed fundoplication patient
patient history, 210–211
upper gastrointestinal endoscopy, 211
Dissatised patients, 217
Distal contractile integral (DCI), 184
Dor fundoplication, 79, 84
Dynamic B-FFE pulse sequence, 19
Dynamic double-angulated B-FFE, 24
Dynamic FFE pulse sequence, 19
Dynamic MR uoroscopy, 17, 18
Dysphagia, 75, 87, 127, 148
algorithm management, 181
anti-reux procedure, 180
E
EART. See Endoscopic anti-reux
therapy (EART)
EGD, 77
EGJ. See Esophagogastric junction (EGJ)
EGJ contractile integral (EGJ-CI), 36
EndoFLIP
®
image, 163
EndoFLIP™ evaluation, 180
Endoluminal Functional Lumen Imaging
Probe (EndoFLIP), 42
Endoscopic anti-reux therapy (EART),
105, 114
ARMS, 119
MUSE, 118
radiofrequency treatment of EGJ, 115
TF, 116, 117
Endoscopic evaluation, of post-
fundoplicational alterations, 212
Endoscopic fundoplication, 155
Endoscopic mucosal resection (EMR), 119
Endoscopic per-oral pyloromyotomy (POP).
See Laparoscopic pyloroplasty
Endoscopic view, Hill’s grade IV PHH, 134
Endoscopy, 17, 225, 239
EPT analysis, 183
Erosive (ERD), 286
Esophageal adenocarcinoma, 29
Esophageal bolus residual/retention, 189
Esophageal function testing, 41
Esophageal HRM, 43
Esophageal impedance testing, 78
Esophageal length, 84, 85
Esophageal manometry, 65, 76, 182
Esophageal motility diagnostic tests, 36
Esophageal pH monitoring, 53, 56, 127, 204
catheter-based technique, 53
limitations, 58
wireless, 54
Esophageal pressure topography (EPT),
182, 184
Esophageal structure, 111
Esophagectomy, 17, 260
Esophagitis, 17
Esophagogastric anatomy, 258
Esophagogastric fundoplication, 79
Esophago-gastric junction (EGJ), 29, 33, 34,
36, 108, 153, 179, 180, 182, 184,
191, 259
ambulatory reux monitoring, 37, 38,
40, 41
anatomy, 30, 154–156
anti-reux surgery, 42
function, 31
hiatus hernia, diagnosis, 34, 36
HRM ndings, 43
measurement, 36
physiology, LES efcacy, 156–157
radiofrequency treatment, 115
reux mechanism, 32, 33
motility and, 33
obesity and, 33, 34
radiofrequency treatment, 115
Esophago-gastroduodenoscopy (EGD), 64, 77
Esophagogastroscopy, 145
Esophagogram, 145
Esophagojejunostomy, 274
Esophagus forces, 125, 235
Etiology, of hiatal hernia, 199
F
Failed diaphragmatic hernia repair, 197
Failed fundoplication, 198, 210, 217–219
causes of
improper surgical technique, 218
inadequate patient counselling, 219
poor patient selection, 217–218
classication, 215–217
recurrent hiatal hernia
clinical presentation, 198–201
denition, 197
mechanical symptoms, 199
pathophysiology, 198
radiologic studies, 201–203
Flap-valve effect, 31
Fluoroscopy, functional luminal imaging
(FLIP), 154, 185
Fragmented peristalsis, 33
Index
305
Functional heartburn/chest pain, 41
Functional lumen imaging probe (FLIP),
162, 179, 191
analysis, 192, 193
protocol, 191, 192
Fundoplication, 42, 62, 97, 136, 227, 243, 248
dismantling of, 258
failure, 234
classication, 237
types, 158
hiatus disruption, 219
MRI role, 21
Nissen, 22
partial vs. complete, 79, 80
G
Gas-bloat symptoms, 128
Gastric and esophageal injuries, 86
Gastric bezoar point, 212
Gastric drainage procedure, 226
Gastric emptying study (GES), 202, 215
Gastric ulcers, 200
Gastric volvulus, 200, 202, 203
Gastrobronchial stula, 200
Gastroesophageal ap valve, 155
Gastroesophageal junction (GEJ), 18, 20, 73,
124, 169, 235
anatomy, 125
schematic representation, 30
radiofrequency therapy of, 112
types of, 35
Gastroesophageal reux disease (GERD), 17,
21, 23, 24, 29, 52, 53, 55–59, 61,
74–78, 83–87, 93, 105, 132, 153,
171, 224
Barrett esophagus, 80, 81
classic symptoms, 94
clinical manifestations, 74
atypical/extraesophageal symptoms, 74
dysphagia, 75
denition, 51, 73
diagnostic workup, 51, 52, 61
Barrett’s esophagus, 52
catheter-based pH monitoring, 53
contrast esophagrams, 52
esophageal pH monitoring, 56, 58
MII, 59, 61
mucosal breaks, 52
pH electrode placement, 55, 56
pH monitoring, duration, 55
pH testing on vs. off acid-suppressant
medications, 57, 58
proximal esophageal pH assessment, 59
symptoms association, 57
wireless pH monitoring, 53
EGJ structure and function, 44
EndoFlip, 42
esophageal function testing, 41, 111
extra-esophageal symptoms, 113
hiatal herniation assessment, 108, 110
MRI impact, 18, 20, 21
after fundoplication procedure,
21, 23, 24
obesity, 79, 113
operative complications and side
effects, 85
bloating, 87
dysphagia, 87
gastric and esophageal injuries, 86
pneumothorax, 86
splenic injury/bleeding, 86
operative technique, 81, 82
esophageal length assessment, 84, 85
Nissen fundoplication, 83
partial fundoplication, 84
partial vs. complete fundoplication,
79, 80
pathophysiology, 73
postoperative care, 85
preopertive work-up, 75
barium esophagram, 77
esophageal manometry, 76
esophagogastroduodenoscopy, 77
impedance testing, 78
pH monitoring, 75
prior therapies, 112
surgical management, 81
24-h pH monitoring, 17
typical and atypical symptoms, 74
typical reux symptoms, 37
validation, 106
Gastro-Esophageal Reux Disease-Health
Related Quality of Life
(GERD- HRQL), 127, 288, 291
Gastroesophageal reux symptom score
(GERSS), 283
Gastrographin swallow, 256
Gastro-hepatic ligament, 124
Gastrointestinal quality of life index (GIQLI),
147, 287, 288
Gastrointestinal symptom rating scale (GSRS),
283, 284, 287, 289
Gastro-oesophageal reux disease (GORD),
281
Roux-en-Y esophagojejunostomy, 291