Şükrü Salih TOPRAK, Ceyhun PEKIN, Hatice TOPRAK
Eurasian Journal of Emergency Medicine - 2026;25(1):246-253
Aim: Gastroesophageal reflux disease (GERD) is a significant burden on the healthcare systems of countries. GERD can lead to poor sleep quality, which affects quality of life and worker productivity. The aim of this study was to investigate the effects of laparoscopic Nissen fundoplication (LNF), the surgical treatment for GERD, on sleep quality. Material and Methods: The study was designed prospectively. The study included 40 patients with extraoesophageal reflux symptoms who underwent LNF. Patients' reflux symptoms and sleep quality were evaluated using the Reflux Symptom index (RSI) and the Pittsburgh Sleep Quality index (PSQI) preoperatively and at 1 month postoperatively. Results: There was a statistically significant decrease in RSI and PSQI in the postoperative 1st month compared with preoperative values. Preoperative and 1st-month postoperative values for RSI were 23.775 and 4.775, respectively, and for PSQI were 11.250 and 5.580, respectively (p<0.05). There was no correlation between decreases in RSI and PSQI. Conclusion: At 1 month postoperatively, LNF improved extraoesophageal reflux symptoms and sleep quality. No correlation was found between improvements in sleep quality and reflux symptoms.
