Author/Editor | Štupnik, Tomaž; Adamič, Katja | |
Title | Ahalazija požiralnika: retrospektivna analiza zdravljenja v letih 2000-2010 | |
Translated title | Esophageal achalasia: retrospective analysis of treatment during 2000-2010 | |
Type | članek | |
Source | Zdrav Vestn | |
Vol. and No. | Letnik 80, št. 10 | |
Publication year | 2011 | |
Volume | str. 740-7 | |
Language | slo | |
Abstract | Background: Esophageal achalasia (EA) is a primary esophageal motility disorder of unclear aetiology. Standard treatments of EA are: pneumatic balloon dilation (PBD) of the lower esophageal sphyncter (LES) and surgical cleaving of the muscle by Heller myotomy. Although the treatment effectively cures dysphagia, the symptoms recur in about a half of the patients. Our point of interest was long-term effectiveness of EA treatment at our department. Methods: We made a retrospective analysis of EA patients treated at our department of thoracic surgery during the 2000-2010 period. Results: In 11 years we performed 187 PBD and 22 laparoscopic myotomies (LM) in 148 patients. Three years after the procedure 65 % of patients after PBD and 90 % of patients after LM showed no signs of disease. The risk of recurrence was 3.56-times greater (p = 0.03) after PBD (in comparison to LM), whereas patients older than 50 years bear 0.51-times lower risk (p = 0.02). The most significant complicatios were esophageal perforation in 3 patients (1.6 %) after PBD and gastroesophageal reflux in 3 patients (15 %) after LM. Conclusions: PBD is a fast, simple, inexpensive and very efficient method of EA treatment, which can be safely performed in almost every patient. LM is far more expensive and a more complicated method that is more suitable for younger patients, in whom PBD is less effective. | |
Descriptors | ESOPHAGEAL ACHALASIA BALLOON DILATATION SURGERY, LAPAROSCOPIC ESOPHAGEAL PERFORATION DEGLUTITION DISORDERS TREATMENT OUTCOME RETROSPECTIVE STUDIES |