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LATE EVALUATION OF DYSPHAGIA AFTER HELLER ESOPHAGEAL MYOTOMY WITH DOR FUNDOPLICATION FOR ACHALASIA.
Câmara, Eduardo Rodrigues Zarco; Madureira, Fernando Athayde Veloso; Madureira, Delta; Salomão, Renato Manganelli; Iglesias, Antonio Carlos Ribeiro Garrido.
Afiliação
  • Câmara ERZ; General Surgery, Gaffrée and Guinle University Hospital, Federal University of the State of Rio de Janeiro.
  • Madureira FAV; General Surgery, Gaffrée and Guinle University Hospital, Federal University of the State of Rio de Janeiro.
  • Madureira D; General Surgery Clinic, Fraga Filho University Hospital, Rio de Janeiro, RJ, Brazil.
  • Salomão RM; General Surgery, Gaffrée and Guinle University Hospital, Federal University of the State of Rio de Janeiro.
  • Iglesias ACRG; General Surgery, Gaffrée and Guinle University Hospital, Federal University of the State of Rio de Janeiro.
Arq Bras Cir Dig ; 30(3): 182-186, 2017.
Article em En, Pt | MEDLINE | ID: mdl-29019558
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Deglutição / Acalasia Esofágica / Fundoplicatura / Miotomia de Heller Tipo de estudo: Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En / Pt Revista: Arq Bras Cir Dig Ano de publicação: 2017 Tipo de documento: Article País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Deglutição / Acalasia Esofágica / Fundoplicatura / Miotomia de Heller Tipo de estudo: Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En / Pt Revista: Arq Bras Cir Dig Ano de publicação: 2017 Tipo de documento: Article País de publicação: Brasil