Surgery Outcomes and Quality of Life in Achalasia's Treatment

• Type: Article in International Scientific Journal
• Date: 2020

Authors

Paula, DMP (Author) Other; Barbosa, JP (Author) FMUP; Laura Barbosa (Author) FMUP; José Barbosa (Author) FMUP

Journal

Title: Journal of Laparoendoscopic & Advanced Surgical Techniques

Vol. 30

Pages: 1308-1313

ISSN: 1092-6429

Indexing

ISI Web of Knowledge - 2 Citations

Scopus - 3 Citations

Other information

Authenticus ID: P-00S-XXT

DOI: 10.1089/lap.2020.0186

Abstract (EN): Objectives:Evaluate the quality of life (QoL) in patients diagnosed with achalasia who performed Heller's myotomy. Methods:Between January 1, 2000 and March 27, 2019, 99 patients were submitted to esophagomyotomy at the Sao Joao Hospital in Oporto, Portugal. The exclusion criteria were other diagnoses, age <18 years at the date of surgery, and death. Seventy-five patients were contacted. Pre- and postoperative evaluations were performed using the achalasia disease-specific QoL questionnaire and by the Eckardt score. QoL was assessed by the Medical Outcomes Study SF-36. Results:Forty-nine patients (65%) answered the questionnaires. The median difference in the achalasia-DSQoL questionnaire between the pre- and postoperative period was -9.0 (interquartile range [IQR]: 5-12), whereas in the Eckardt score was -5.0 (IQR: 3.25-7). Lower postoperative scores correlated with higher scores on the SF-36's mental and physical summary measures (Spearman's rho [rho] = -0.651 and rho = -0.577 for the achalasia-DSQoL questionnaire and rho = -0.552 and rho = -0.515 for the Eckardt score,P < .001). Physical and mental summary measures were correlated with each other (rho = 0.788,P < .001). Conclusions:Heller's myotomy allows a decrease in symptoms and an increase in QoL. Patients with severe symptoms before surgery had higher postoperative scores and patients with fewer symptoms had lower postoperative scores.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 6