LAUSR

FP02 Title BARIATRIC SURGERY IS ASSOCIATED WITH LONG-TERM PSYCHOLOGICAL BENEFITS Author(s) H Shabana, G Moore-Groarke, CJ O’Boyle Presenter H Shabana Institution Surgical Department, Bon Secours Hospital, Cork, Ireland; Psychology Department, Bon Secours Hospital, Cork, Ireland Introduction Bariatric surgery and its associated weight loss is a well-established treatment for the major comorbidities associated with morbid obesity. Relatively little information exists regarding the psychological impact of weight loss surgery particularly in the long-term. Aims To evaluate Quality of Life (QOL), Beck Depression (BD), Hospital Anxiety Depression (HAD) and Self Esteem (SE) scores preoperatively, at 1 year postoperatively and at 2 years postoperatively in a series of morbidly obese patients undergoing bariatric surgical intervention utilizing validated questionnaires. FP01 Title LAPAROSCOPIC MAGNETIC SPHINCTER AUGMENTATION OFFERS AN EFFECTIVE ALTERNATIVE TREATMENT FOR GASTRO-OESOPHAGEAL REFLUX Author(s) D Prakash, T Platt, J Brewer, S Wajed Presenter D Prakash Institution Royal Devon and Exeter Hospital, Exeter, UK; University of Exeter Medical School, Exeter, UK Aims Gastro-oesophageal reflux disease (GORD) is a common, chronic debilitating condition. Surgical management traditionally involves a tissue fundoplication. This study explores the effectiveness of magnetic sphincter augmentation (MSA) as an alternative definitive therapy. Methods Prospective data on all MSA performed since June 2012 at a specialist reflux centre were analysed. Pre-operative data relating to patient demographics, oesophageal physiology testing and symptom-scores were collected. Outcomes analysed were GERD Health Related Quality of Life (GERD-HRQL) scores, anti-acid use and patient satisfaction at 1and 2-year follow-up. Results Forty-seven patients underwent MSA over the 40-month period. Mean GERD-HRQL scores were significantly reduced, compared to baseline, and maintained at 1and 2-year (p\ 0.0001). Drug-dependency was 100% at baseline, but 2.6% and 8.7% at 1and 2-year follow-up. High levels of patient satisfaction were reported. There were no adverse events. Conclusion MSA is safe and highly effective in the treatment of uncomplicated GORD, with durable results. This laparoscopic, minimally invasive procedure provides a viable alternative for patients without any anatomical reconfiguration as implemented in tissue fundoplication. MSA results in good symptom control and minimal adverse effects. Key statement MSA offers a good safety profile and substantial improvements in quality of life, drug dependency and patient satisfaction maintained up to two years.