Abstract

Health-Related Quality of Life and Long-term Results after Laparoscopic Heller Myotomy and Dor Fundoplication

Highlights

  • Laparoscopic Heller myotomy is currently considered the choice treatment for relief of dysphagia in Esophageal Achalasia (EA), showing a low incidence of gastroesophageal reflux and evident improvement in Health-Related Quality of Life (HRQL)

  • For all the aforementioned and to continue with the research done the objective of this investigation was to evaluate HRQL and clinic evolution after Laparoscopic Heller Myotomy (LHM) and Dor fundoplication

  • A prospective longitudinal descriptive observational study was done in patients with a confirmed diagnosis of EA by using Barium esophagram (BE) and High Resolution Manometry (HRM) at the CNCMA between January 2010 to December 2017 who had LHM and Dor fundoplication

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Summary

Introduction

Laparoscopic Heller myotomy is currently considered the choice treatment for relief of dysphagia in Esophageal Achalasia (EA), showing a low incidence of gastroesophageal reflux and evident improvement in Health-Related Quality of Life (HRQL). Laparoscopic Heller Myotomy (LHM) is currently considered the choice treatment for relief of dysphagia in Esophageal Achalasia (EA), proving a low incidence of gastroesophageal reflux and an evident improvement in Health-Related quality of life [1]. For the first time in 2015 at the National Center of Minimally Invasive Surgery (CNCMA), an investigation about Health-Related Quality of Life (HRQL) by using Gastrointestinal Quality of Life Index (GIQLI) in patients with EA who underwent LHM and Dor fundoplication was carried out [2]. For all the aforementioned and to continue with the research done the objective of this investigation was to evaluate HRQL and clinic evolution after LHM and Dor fundoplication Taking into consideration that this evaluation is considered a new strategy for the analysis of therapeutic programs results, especially to evaluate repercussion of the sickness according to the different levels of symptomatic intensity and monitoring the changes obtained with surgery treatment [3,4,5].

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