BACKGROUND: The aim of this study was to investigate the long-term clinical outcome of the laparoscopic Heller Dor procedure for esophageal achalasia. METHODS: A total of 71 consecutive patients with a minimum 6 year follow-up were evaluated. These patients were seen at 1 and 6 months after the operation (at which time barium swallow, endoscopy, manometry, and pH monitoring were performed), and annually thereafter. A dedicated symptom score, that combined severity and frequency of symptoms was used. RESULTS: The median symptom score decreased from 22 (range, 9-29) preoperatively to 4 (range, 0-16) at last follow-up, (p < 0.01). During the follow-up period, 13 patients suffered symptom recurrence; seven of them (54%) had already been diagnosed at the 1-year follow-up. All of these patients were treated with complementary pneumatic dilations. Overall, at a minimum of 6- years after the operation, 81.7% of the patients were satisfied with the treatment and were able to eat normally. CONCLUSIONS: The long-term outcome of laparoscopic surgical treatment of esophageal achalasia is only slightly affected by the length of the follow-up and most of the symptomatic failures occur in the early period after the operation.
BACKGROUND: The aim of this study was to investigate the long-term clinical outcome of the laparoscopic Heller Dor procedure for esophageal achalasia. METHODS: A total of 71 consecutive patients with a minimum 6 year follow-up were evaluated. These patients were seen at 1 and 6 months after the operation (at which time barium swallow, endoscopy, manometry, and pH monitoring were performed), and annually thereafter. A dedicated symptom score, that combined severity and frequency of symptoms was used. RESULTS: The median symptom score decreased from 22 (range, 9-29) preoperatively to 4 (range, 0-16) at last follow-up, (p < 0.01). During the follow-up period, 13 patients suffered symptom recurrence; seven of them (54%) had already been diagnosed at the 1-year follow-up. All of these patients were treated with complementary pneumatic dilations. Overall, at a minimum of 6- years after the operation, 81.7% of the patients were satisfied with the treatment and were able to eat normally. CONCLUSIONS: The long-term outcome of laparoscopic surgical treatment of esophageal achalasia is only slightly affected by the length of the follow-up and most of the symptomatic failures occur in the early period after the operation.
Authors: D Armstrong; J R Bennett; A L Blum; J Dent; F T De Dombal; J P Galmiche; L Lundell; M Margulies; J E Richter; S J Spechler; G N Tytgat; L Wallin Journal: Gastroenterology Date: 1996-07 Impact factor: 22.682
Authors: Marco G Patti; Piero M Fisichella; Silvana Perretta; Carlos Galvani; Maria V Gorodner; Thomas Robinson; Lawrence W Way Journal: J Am Coll Surg Date: 2003-05 Impact factor: 6.113
Authors: Constantine T Frantzides; Ronald E Moore; Mark A Carlson; Atul K Madan; John G Zografakis; Ali Keshavarzian; Claire Smith Journal: J Gastrointest Surg Date: 2004-01 Impact factor: 3.452
Authors: Giovanni Ramacciato; Francesco Antonio d'Angelo; Massimo del Gaudio; Giorgio Ercolani; Paolo Aurello Journal: Ann Surg Date: 2006-03 Impact factor: 12.969
Authors: Aleksandar Petar Simić; Nebojsa S Radovanović; Ognjan M Skrobić; Zoran J Raznatović; Predrag M Pesko Journal: J Gastrointest Surg Date: 2009-12-22 Impact factor: 3.452
Authors: Christopher W Snyder; Ryan C Burton; Lindsay E Brown; Manasi S Kakade; Kelly R Finan; Mary T Hawn Journal: J Gastrointest Surg Date: 2009-09-30 Impact factor: 3.452
Authors: Toshitaka Hoppo; Shyam J Thakkar; Lana Y Schumacher; Yoshihiro Komatsu; Steve Choe; Amit Shetty; Sara Bloomer; Emily J Lloyd; Ali H Zaidi; Mathew A VanDeusen; Rodney J Landreneau; Abhijit Kulkarni; Blair A Jobe Journal: Surg Endosc Date: 2015-04-07 Impact factor: 4.584
Authors: Andrés Sánchez-Pernaute; Elia Pérez Aguirre; Pablo Talavera; Luis Díez Valladares; Julio Pérez de la Serna; Concepción Sevilla Mantilla; Antonio Ruiz de León; Antonio Torres Journal: Surg Endosc Date: 2008-09-24 Impact factor: 4.584