OA10.2. Understanding the Impacts of Gastro-Oesophageal Reflux Disease and Outcome Assessment From the Patients' Perspectives: A Qualitative Study

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ID: 326187
2026
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Ranked #109 of 453 articles by views in diseases of the esophagus : official journal of the international society for diseases of the esophagus

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Abstract
Abstract Topic Benign Disease: Gastro-Esophageal Reflux and Hiatal Hernia Background Anti-reflux surgery (ARS), particularly fundoplication, has shown strong efficacy in controlling reflux symptoms since its invention in the 1950’s. Current methods of outcome reporting predominantly focus on post-operative primary reflux symptom assessment. However, little is understood on how patients, the key stakeholder in this operation perceive and judge surgical success. Methods A qualitative study using semi-structured interviews was conducted in patients post ARS at Princess Alexandra Hospital, Brisbane, Australia. Interviews were conducted online by a single researcher, with an average duration of 30 minutes. Recruitment was discontinued once thematic saturation was achieved. Saturation was defined as the point at which no new concepts, codes or theme emerged from the data. Interview transcripts were uploaded to NViVo software for coding. Following coding, thematic analysis was conducted using inductive principles. Patient quotes were coded and subsequently oraganised into overarching themes. Researcher triangulation was employed to corroborate the analysis. The interviews explored two primary areas: how impacts of GORD shape the patients’ expectation of surgery and the determinants of post-operative satisfaction from the perspectives of patients with lived experience. Results Thematic saturation was achieved after 16 patients were interviewed (12 Females, 4 Males, median age 63, median postoperative interval 6 months). 15/16 patients were willing to undergo surgery again. Thematic analysis found that beyond direct physical burden of symptoms or financial concerns associated with long term medication use, patients were most concerned with the functional impacts of GORD. Poor food tolerance was associated with psychological and social impacts, resulting in isolation from social settings. Subsequently, improving symptoms and food tolerance were described as directly linked to patients’ satisfaction. The emergence of new low gastrointestinal symptoms such as increased flatulence and diarrhoea were major causes of dissatisfaction, with the functional impacts described to be as restrictive as the pre-operative reflux symptoms. Finally, non-technical aspects of ARS, particularly effective communication and expectation setting were described by all to be a major influencer of their determinant of surgery success. Conclusion This study demonstrates that understanding the individual impacts of GORD is essential in tailoring surgical goals, which in turn strongly influences post-operative patient satisfaction. Delivering high quality, patient centred ARS requires clear and transparent communication throughout the surgical journey, ensuring expectations are aligned and that the patient is fully informed of both anticipated benefits and potential postoperative outcomes.
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Authors Du Phan, Nicole Marinucci, Iain Thomson, Adam Frankel
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Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.066
URL
https://academic.oup.com/dote/article-pdf/39/Supplement_1/doag077.066/70760319/doag077.066.pdf
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