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Myotomy: follow-up study of 50 patients.

Publication ,  Journal Article
Berch, BR; Nava, RD; Torquati, A; Sharp, KW; Richards, WO
Published in: J Gastrointest Surg
December 2005

Laparoscopic myotomy has become the standard treatment for definitive management of achalasia. This study was undertaken to assess the long-term results of the procedure. Perioperative data, including a symptom score questionnaire, were collected prospectively on all patients undergoing laparoscopic myotomy. The same questionnaire was readministered by phone to patients with follow-up greater than 3.75 years. The long-term success of myotomy was defined as a 50% or greater decrease in the dysphagia score and absence of further therapy (responders). Fifty of 95 patients (age = 57 years, 23 females) were successfully contacted. Average follow-up was 6.2 years. The overall long-term success rate was 64% (responders). Forty-two patients (84%) were able to gain or maintain their weight after the procedure. Five patients (10%) required one or more endoscopic dilations after the myotomy. The mean change in dysphagia score was higher in the responder group (7.8 +/- 1.9 vs. 1.9 +/- 2.1; P = 0.001). The two groups were similar in terms of age, gender distribution, and follow-up interval (P > .05). Dor fundoplication was performed in six patients (12%), and the outcome comparisons of these patients showed no significant differences from those patients undergoing Heller alone. Overall satisfaction was achieved in 94% of contacted patients. These results confirm that laparoscopic myotomy is an effective procedure with excellent long-term symptom resolution and overall satisfaction in patients with achalasia.

Duke Scholars

Published In

J Gastrointest Surg

DOI

ISSN

1091-255X

Publication Date

December 2005

Volume

9

Issue

9

Start / End Page

1326 / 1331

Location

Netherlands

Related Subject Headings

  • Thoracoscopy
  • Surgery
  • Prospective Studies
  • Muscle, Smooth
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Esophagoscopy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Berch, B. R., Nava, R. D., Torquati, A., Sharp, K. W., & Richards, W. O. (2005). Myotomy: follow-up study of 50 patients. J Gastrointest Surg, 9(9), 1326–1331. https://doi.org/10.1016/j.gassur.2005.09.009
Berch, Barry R., R Dean Nava, Alfonso Torquati, Kenneth W. Sharp, and William O. Richards. “Myotomy: follow-up study of 50 patients.J Gastrointest Surg 9, no. 9 (December 2005): 1326–31. https://doi.org/10.1016/j.gassur.2005.09.009.
Berch BR, Nava RD, Torquati A, Sharp KW, Richards WO. Myotomy: follow-up study of 50 patients. J Gastrointest Surg. 2005 Dec;9(9):1326–31.
Berch, Barry R., et al. “Myotomy: follow-up study of 50 patients.J Gastrointest Surg, vol. 9, no. 9, Dec. 2005, pp. 1326–31. Pubmed, doi:10.1016/j.gassur.2005.09.009.
Berch BR, Nava RD, Torquati A, Sharp KW, Richards WO. Myotomy: follow-up study of 50 patients. J Gastrointest Surg. 2005 Dec;9(9):1326–1331.
Journal cover image

Published In

J Gastrointest Surg

DOI

ISSN

1091-255X

Publication Date

December 2005

Volume

9

Issue

9

Start / End Page

1326 / 1331

Location

Netherlands

Related Subject Headings

  • Thoracoscopy
  • Surgery
  • Prospective Studies
  • Muscle, Smooth
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Esophagoscopy