Original article<br>Relationship between subjective and objective data in achalasia patients after laparoscopic Heller-Dor procedure

Vladimir Vladimirovich Grubnik; Andrey Vladimirovich Malinovskiy; Aleksandra Vladimirovna Grubnik

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4/2006
vol. 1

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abstract:

Original article
Relationship between subjective and objective data in achalasia patients after laparoscopic Heller-Dor procedure

Vladimir Vladimirovich Grubnik

,

Andrey Vladimirovich Malinovskiy

,

Aleksandra Vladimirovna Grubnik

Online publish date: 2006/12/20

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There were no conversions to open surgery. Mean operation time was 110±23 min. Median postoperative hospital stay was 5.5±2.2 days. Intraoperative and postoperative complications included 2 cases (4.2 %) of mediastinal emphysema and 1 case (2.1 %) of pneumonia. Degree of dysphagia relief was excellent in 39 (83 %) patients, good in 7 (14.9 %) patients and moderate in 1 patient (2.1 %). Mean lower oesophageal sphincter (LOS) resting pressure decreased from 25.2 mmHg (range 17.3 – 39.1) to 14.1 mmHg (range 11.2 – 18.0). There was poor correlation between median postoperative dysphagia score and median postoperative LOS pressure (r = 0.17) and also no correlation between median change in dysphagia score from preop to postop and median change in LOS pressure (r = 0.03). Median De Meester score decreased from 15.1 (range 3.1 – 94.4) to 5.9 (range 2.9 – 49.3). There was poor correlation between GERD-HRQL score and De Meester score (r = 0.25).

keywords:

Original articleRelationship between subjective and objective data in achalasia patients after laparoscopic Heller-Dor procedure

Vladimir Vladimirovich Grubnik , Andrey Vladimirovich Malinovskiy , Aleksandra Vladimirovna Grubnik

oesophageal achalasia, laparoscopic Heller-Dor procedure, dysphagia, gastroesophageal reflux

Original article
Relationship between subjective and objective data in achalasia patients after laparoscopic Heller-Dor procedure

Vladimir Vladimirovich Grubnik

,

Andrey Vladimirovich Malinovskiy

,

Aleksandra Vladimirovna Grubnik