Esophageal achalasia: retrospective analysis of treatment during 2000–2010
<p><strong>BACKGROUND<br /> </strong>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...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Slovenian Medical Association
2011-10-01
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| Series: | Zdravniški Vestnik |
| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/199 |
| _version_ | 1811276286151098368 |
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| author | Tomaž Štupnik Katja Adamič |
| author_facet | Tomaž Štupnik Katja Adamič |
| author_sort | Tomaž Štupnik |
| collection | DOAJ |
| description | <p><strong>BACKGROUND<br /> </strong>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. </p><p><strong>METHODS</strong><br />We made a retrospective analysis of EA patients treated at our department of thoracic surgery during the 2000–2010 period.</p><p><strong>RESULTS</strong><br />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.</p><p><strong>CONCLUSIONS</strong><br />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.</p> |
| first_indexed | 2024-04-12T23:53:50Z |
| format | Article |
| id | doaj.art-81f537e158974191b9e998f34959a9b0 |
| institution | Directory Open Access Journal |
| issn | 1318-0347 1581-0224 |
| language | English |
| last_indexed | 2024-04-12T23:53:50Z |
| publishDate | 2011-10-01 |
| publisher | Slovenian Medical Association |
| record_format | Article |
| series | Zdravniški Vestnik |
| spelling | doaj.art-81f537e158974191b9e998f34959a9b02022-12-22T03:11:35ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242011-10-01801091Esophageal achalasia: retrospective analysis of treatment during 2000–2010Tomaž ŠtupnikKatja Adamič<p><strong>BACKGROUND<br /> </strong>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. </p><p><strong>METHODS</strong><br />We made a retrospective analysis of EA patients treated at our department of thoracic surgery during the 2000–2010 period.</p><p><strong>RESULTS</strong><br />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.</p><p><strong>CONCLUSIONS</strong><br />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.</p>http://vestnik.szd.si/index.php/ZdravVest/article/view/199 |
| spellingShingle | Tomaž Štupnik Katja Adamič Esophageal achalasia: retrospective analysis of treatment during 2000–2010 Zdravniški Vestnik |
| title | Esophageal achalasia: retrospective analysis of treatment during 2000–2010 |
| title_full | Esophageal achalasia: retrospective analysis of treatment during 2000–2010 |
| title_fullStr | Esophageal achalasia: retrospective analysis of treatment during 2000–2010 |
| title_full_unstemmed | Esophageal achalasia: retrospective analysis of treatment during 2000–2010 |
| title_short | Esophageal achalasia: retrospective analysis of treatment during 2000–2010 |
| title_sort | esophageal achalasia retrospective analysis of treatment during 2000 2010 |
| url | http://vestnik.szd.si/index.php/ZdravVest/article/view/199 |
| work_keys_str_mv | AT tomazstupnik esophagealachalasiaretrospectiveanalysisoftreatmentduring20002010 AT katjaadamic esophagealachalasiaretrospectiveanalysisoftreatmentduring20002010 |