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Volume 6, Issue 8(Suppl)

J Gastrointest Dig Syst 2016

ISSN:2161-069X JGDS, an open access journal

Page 32

Notes:

Digestive Diseases 2016

December 08-09, 2016

conferenceseries

.com

Digestive Diseases

December 08-09, 2016 Dubai, UAE

International Conference on

The efficacy of laparoscopic Heller's myotomy in achalasia patients: A university hospital experience

Nouf Suliman Alballa, Sami Alnassar, Afaf Almutairi, Sarah Aljabri, Munira Almehsen, Kholoud Aldosari, Iftikhar Ahmed

and

Waseem Hajjar

King Saud University- Medical City, Saudi Arabia

Aim:

Aim of this study is to determine the impact of laparoscopic Heller myotomy on patients’ symptoms with esophageal achalasia

by evaluating pre-operative and post-operative Eckardt’s score.

Method:

The patients involved in this study were diagnosed with esophageal achalasia and underwent laparoscopic Heller myotomy

(LHM) between 2008 and 2015, at King Saud University- Medical City, Saudi Arabia. Record of 25 patients who underwent LHM

was reviewed; out of these only 19 patients met the inclusion criteria who were included to conduct a retrospective cohort designed

study. Patients’ demographic data, time of admission, hospital stay and surgical complications were obtained through Hospital

Information System (HIS). Clinical symptoms were assessed using the Eckardt’s score, which is the sum of the individual symptom

score for dysphagia, regurgitation, retro-sternal pain and weight loss. The pre-operative score was collected before the surgery in the

surgical clinic. The post-operative score was collected by contacting the patients via telephone. The post-operative Eckardt’s score was

recorded twice; first, between 3 to 6 months after the surgery and second, at the time of the phone call (January 2016).

Results:

A total of 19 patients were included in the study with a mean age of 36.6 years, 13 of them were males (68.4%). The mean of

the pre-surgical Eckardt’s score was 6.2 which was improved to 1.3-2.5 after laparoscopic Heller myotomy (P<0.01), with a clinical

remission of 84.2% after the surgery.

Conclusion:

Laparoscopic Heller myotomy is an effective procedure in achalasia patients with clinical remission of 84.2%.

Biography

Nouf Suliman Alballa is a 4

th

year Medical Student at King Saud University, Riyadh, Saudi Arabia. His research project has been supervised by Dr. Sami Al-Nassar, Head

and Division of Thoracic Surgery at King Saud University- Medical City, Saudi Arabia. He is working on two other research projects.

Nouf.alballa@gmail.com

Nouf Suliman Alballa et al., J Gastrointest Dig Syst 2016, 6:8(Suppl)

http://dx.doi.org/10.4172/2161-069X.C1.046