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The efficacy of laparoscopic Hellers myotomy in achalasia patients: A university hospital experience
International Conference on Digestive Diseases
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
ScientificTracks Abstracts: J Gastrointest Dig Syst
Abstract
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 4th 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.
Email: Nouf.alballa@gmail.com
