P-BN43 Giant Hiatus Hernia Repair Significantly Improves Quality of Life

Abstract Background Giant hiatus hernias (GHH), defined as more than 30% of the stomach herniating into chest cavity accounts for 5%-10% all hernias. GHH repair is undertaken electively in symptomatic patients, to prevent complications such volvulus with resultant mortality. Advances laparoscopy and perioperative care have reduced risk operation, improvement quality life (QoL) has become an important outcome measure. “Quality Life Reflux Dyspepsia” (QOLRAD) questionnaire a disease specific validated tool used assess QoL. We present our prospective data assessing change QoL following repair. Methods Symptomatic patients undergoing elective GHH, by single surgical team, between January 2010 June 2021 were identified from prospectively kept database. Demographic operative details recorded patient notes. From 2015 onwards QOLRAD was introduced. Patients who underwent completed pre-operatively then at 6 weeks, months, 1 year 2 years post-operatively. Patients, not operated on, month intervals over years. Mann-Whitney U test compare scores hernia size, type symptomatology. Results Sixty-eight 2014. Statistically significant(p < 0.001) only seen ‘heartburn’ symptoms. Thirty included post group. significant domains observed demonstrated table below. Conclusions safe operation that results across may deterioration