Achalasia and obesity: patient outcomes and impressions following laparoscopic Heller myotomy and Dor fundoplication
| Autor: | Karen A. Chojnacki, Jon M Harrison, Michael J. Pucci, Stephanie Rakestraw, Stephen M. Doane, Francesco Palazzo |
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| Rok vydání: | 2020 |
| Předmět: |
Heller myotomy
medicine.medical_specialty business.industry Achalasia Vascular surgery medicine.disease Surgery Cardiac surgery 03 medical and health sciences 0302 clinical medicine Weight loss Cardiothoracic surgery 030220 oncology & carcinogenesis Cohort medicine 030211 gastroenterology & hepatology medicine.symptom business Abdominal surgery |
| Zdroj: | Langenbeck's Archives of Surgery. 405:809-816 |
| ISSN: | 1435-2451 1435-2443 |
| DOI: | 10.1007/s00423-020-01912-0 |
| Popis: | The optimal management of achalasia in obese patients is unclear. For those who have undergone Heller myotomy and fundoplication, the long-term outcomes and their impressions following surgery are largely unknown. A retrospective review of patients who underwent laparoscopic Heller myotomy and Dor fundoplication (LHMDF) for achalasia was performed. From this cohort, Class 2 and 3 obese (BMI > 35 kg/m2) patients were identified for short- and long-term outcome analysis. Between 2003 and 2015, 252 patients underwent LHMDF for achalasia, and 17 (7%) patients had BMI > 35 kg/m2. Pre-operative Eckardt scores varied from 2 to 9, and at short-term (2–4 week) follow-up, scores were 0 or 1. Ten (58%) patients had available long-term (2–144 months) follow-up data. Eckardt scores at this time ranged from 0 to 6. Symptom recurrence was worse for patients with BMI > 40 kg/m2 compared to patients with BMI |
| Databáze: | OpenAIRE |
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