Long-term clinical status, quality of life and functional outcomes after laparoscopic approach to achalasia

Franco G. Marinello, Eduard M. Targarona, Carmen Balague, María Poca, Joan Mones, Manuel Trias

Research output: Chapter in BookChapterResearchpeer-review

Abstract

© 2014 Nova Science Publishers, Inc. This study evaluates the clinical status, quality of life, and functional outcomes after laparoscopic Heller myotomy (LHM). We analyzed patients who underwent LHM with an anti-reflux procedure. Before surgery we administered a clinical and quality of life (QoL) questionnaire. In 2003, we performed a follow up for the first 27 patients. We administered the same questionnaires and performed manometry and 24-hour pH monitoring. In 2011, we repeated the same tests in all available patients. According to the length of follow up, all patients were divided into 3 groups. Data were compared for the 3 groups and for patients with 2 prospective controls. Ninety-five patients underwent LHM. Clinical, QoL and manometric determinations improved after surgery in all groups. Ten percent of overall 24- hour pH monitoring was abnormal. Patients with 2 prospective controls showed maintained good results in the long term. LHM improves clinical status and QoL with minimal esophageal impairment.
Original languageEnglish
Title of host publicationMinimally Invasive Surgery: Evolution of Operative Techniques, Safety & Effectiveness and Long-Term Clinical Outcomes
Pages109-124
Number of pages15
Publication statusPublished - 1 Jan 2014

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