Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders
| Autor: | G, Scerrino, A, Inviati, S, Di Giovanni, N C, Paladino, V, Di Paola, C, Raspanti, G I, Melfa, F, Cupido, S, Mazzola, C, Porrello, S, Bonventre, G, Gullotta |
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| Přispěvatelé: | Scerrino, G., Inviati, A., Di Giovanni, S., Paladino, N., Di Paola, V., Raspanti, C., Melfa, G., Cupido, F., Mazzola, S., Porrello, C., Bonventre, S., Gulotta, G |
| Rok vydání: | 2017 |
| Předmět: |
Larynx
Adult Male medicine.medical_specialty Time Factors Adolescent Manometry medicine.medical_treatment aerodigestive disorders thyroidectomy Risk Assessment Severity of Illness Index Thyroiditis 03 medical and health sciences 0302 clinical medicine Swallowing Risk Factors medicine Humans Esophageal Motility Disorders Prospective Studies Esophagus Prospective cohort study Aged Voice Disorders business.industry Pharynx Reflux Thyroidectomy Middle Aged medicine.disease Surgery Settore MED/18 - Chirurgia Generale medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female Original Article business Deglutition Disorders |
| Zdroj: | Il Giornale di chirurgia. 37(5) |
| ISSN: | 0391-9005 |
| Popis: | BACKGROUND: Patients undergoing thyroidectomy often complain aerodigestive disorders. In a previous study we showed the associations between voice impairment and proximal acid reflux, swallowing impairment and Upper Esophageal Sphyncter (UES) incoordination and the decrease in UES pressure in thirty-six patients observed before and soon afterwards uncomplicated thyroidectomy. This study investigated the state of post-thyroidectomy esophageal motility changes and its associations with these disorders after 18-24 months. PATIENTS AND METHODS: The thirty-six patients prospectively recruited according to selection criteria (thyroid volume ≤60 ml, benign disease, age 18-65 years, previous neck surgery, thyroiditis, pre- or postoperative vocal cord palsy) underwent voice (VIS) and swallowing (SIS) impairment scores, esophageal manometry and pH monitoring once again. RESULTS: After 18-24 months, both VIS and SIS recovered (respectively: p=0,022; p=0,0001); UES pressure increased (p=0,0001) nearing the preoperative values. The persistence of swallowing complaints were associated with the persistence of esophageal incoordination (p=0,03); the association between voice impairment and proximal acid reflux was confirmed (p |
| Databáze: | OpenAIRE |
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