Gastrointestinal Quality of Life Before and After Laparoscopic Heller Myotomy With Partial Posterior Fundoplication

Decker, G. Anton; Borie, F.; Bouamrirene, Dalila; Veyrac, M.; Guillon, F.; Fingerhut, Abe; Millat, Bertrand

doi:10.1097/00000658-200212000-00007

Cited by 78 publications

(65 citation statements)

References 30 publications

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“…Findings recently reported by Decker et al [25] demonstrating significant improvements in a specific gastrointestinal QOL questionnaire (not yet available in Italian validated translation) in patients with early and advanced stage achalasia seem in accordance with ours.…”

Section: Discussionsupporting

confidence: 93%

Long-term results and quality of life after surgery for oesophageal achalasia: one surgeon's experience1

Mineo

Ambrogi

2004

European Journal of Cardio-Thoracic Surgery

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Objective: To assess the long-term results and health-related quality of life in patients undergoing surgery for oesophageal achalasia. Methods: Thirty-nine patients with achalasia (25 males, mean age 42^13 years) underwent open-Heller myotomy and Dor fundoplication by the same surgeon. Long-term results were assessed by imaging, endoscopy, manometry, pH-metry, and Short Form 36 and Nottingham Health Profile questionnaires whenever applicable. Six patients were at radiological stage I, 20 were at stage II, 2 at stage III and 11 at stage IV. Dysphagia and regurgitation were scored according to the four-grade classification (1 ¼ no symptoms; 4 ¼ persistent symptoms). Pulmonary symptoms were present in six patients. Lower oesophageal pressure was 30^34 mmHg. Six patients had undergone previous pneumatodilation. Results: No procedure related mortality was recorded. Mean follow-up was 107^30 months (54 -177). Preoperative to 5-year postoperative mean decrement in lower oesophageal sphincter pressure was 12.3^8.3 mmHg ðP , 0:001Þ; in oesophageal width was 11.5^7.1 mm ðP , 0:001Þ; in dysphagia 1.8^0.8 ðP , 0:01Þ and regurgitation 1.4^0.7 ðP , 0:01Þ: Four patients presented relapse dysphagia and two of those were re-operated upon. Three patients developed acid reflux, which was satisfactorily treated with proton-pump inhibitors. Preoperative to 4-year postoperative quality of life scores were available for 20 patients. Questionnaires showed a significant improvement ðP , 0:001Þ especially in all psychosocial domains, which were correlated with postoperative dysphagia score and lower oesophageal sphincter pressure. Conclusion: Heller myotomy and Dor fundoplication is a safe and effective procedure that improves symptoms, functional status and especially psychosocial aspect of quality of life in the long term in oesophageal achalasia. q

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Section: Discussionsupporting

confidence: 93%

Long-term results and quality of life after surgery for oesophageal achalasia: one surgeon's experience1

Mineo

Ambrogi

2004

European Journal of Cardio-Thoracic Surgery

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“…Median preoperative GIQLI (Gastrointestinal Quality of Life Index) score was 84 (range 34-129) out of a theoretical maximum score of 144 in a study by Decker et al (39). At a median follow-up of 31 months (range 12-54), the score had significantly improved to 119 (range 77-143), close to the range for the normal French population.…”

Section: Quality Of Lifementioning

confidence: 70%

Impact of Minimally Invasive Surgery in the Spectrum of Current Achalasia Treatment Options

Gockel¹,

Sgourakis²,

Drescher³

et al. 2011

Scand J Surg

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minimally invasive heller myotomy has evolved the "gold standard" procedure for achalasia in the spectrum of current treatment options. the laparoscopic technique has proved superior to the thoracoscopic approach due to improved visualization of the esophagogastric junction. operative controversies most recently include the length of the myotomy, especially of its fundic part, with respect to the balance between postoperative persistent dysphagia and development of gastroesophageal reflux, as well as the type of the added antireflux procedure. perioperative mortality should approach 0%, and favorable long-term results can be achieved in > 90%.

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“…8 Decker G et al, all these studies had mean age of disease presentation nearer to the present study. 9 This shows that achalasia cardia is more common in adulthood with almost equal sex incidence in males and females.…”

Section: Discussionmentioning

confidence: 97%

Laparoscopic management of achalasia cardia

et al. 2015

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Gastrointestinal Quality of Life Before and After Laparoscopic Heller Myotomy With Partial Posterior Fundoplication

Cited by 78 publications

References 30 publications

Long-term results and quality of life after surgery for oesophageal achalasia: one surgeon's experience1

Long-term results and quality of life after surgery for oesophageal achalasia: one surgeon's experience1

Impact of Minimally Invasive Surgery in the Spectrum of Current Achalasia Treatment Options

Laparoscopic management of achalasia cardia

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