LATE EVALUATION OF DYSPHAGIA AFTER HELLER ESOPHAGEAL MYOTOMY WITH DOR FUNDOPLICATION FOR ACHALASIA
ABSTRACT Background: All available treatments for achalasia are palliative and aimed to eliminate the flow resistance caused by a hypertensive lower esophageal sphincter. Aim: To analyze the positive and negative prognostic factors in the improvement of dysphagia and to evaluate quality of life in patients undergoing surgery to treat esophageal achalasia by comparing findings before, immediately after, and in long follow-up. Methods: A total of 84 patients who underwent surgery for achalasia between 2001 and 2014 were retrospectively studied. The evaluation protocol with dysphagia scores compared preoperative, immediate (up to three months) postoperative and late (over one year) postoperative scores to estimate quality of life. Results: The surgical procedure was Heller-Dor in 100% of cases, with 84 cases performed laparoscopically. The percent reduction in pre- and immediate postoperative lower esophageal sphincter pressurewas 60.35% in the success group and 32.49% in the failure group. Regarding the late postoperative period, the mean percent decrease was 60.15% in the success group and 31.4% in the failure group. The mean overall drop in dysphagia score between the pre- and immediate postoperative periods was 7.33 points, which represents a decrease of 81.17%. Conclusions: Reduction greater than 60% percent in lower esophageal sphincter pressurebetween the pre- and postoperative periods suggests that this metric is a predictor of good prognosis for surgical response. Surgical treatment was able to have a good affect in quality of life and drastically changed dysphagia over time.
Main Authors: | CÂMARA,Eduardo Rodrigues Zarco, MADUREIRA,Fernando Athayde Veloso, MADUREIRA,Delta, SALOMÃO,Renato Manganelli, IGLESIAS,Antonio Carlos Ribeiro Garrido |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Colégio Brasileiro de Cirurgia Digestiva
2017
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202017000300182 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
Peroral endoscopic myotomy for an achalasia patient with multiple esophageal diverticula
by: Tan,Yuyong, et al.
Published: (2017) -
Peroral Endoscopic Myotomy for Esophageal Achalasia in Portugal: Outcomes of the First Prospective Series
by: Mendo,Rui, et al.
Published: (2021) -
Tension pneumothorax during peroral endoscopic myotomy for treatment of esophageal achalasia under general anesthesia
by: Li,Tsung-Shih, et al.
Published: (2017) -
Qualidade de vida após a cardiomiotomia à Heller-Dor
by: Madureira,Fernando A.V., et al.
Published: (2009) -
Heller's myotomy: a hundred years of success!
by: ANDREOLLO,Nelson Adami, et al.
Published: (2014)