Jiménez RR, Roque GR, Morera PM

Language: Spanish
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Page: 1-10
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ABSTRACT

Introduction: Achalasia is the most frequent of motor disorders of the esophagus, producing dysphagia, regurgitation and weight loss, with a marked deterioration of the quality of life. Videolaparoscopic surgery remains the gold standard for dysphagia relief. However, the health-related quality of live measurement is still necessary to assess treatment outcome and the impact on the patients' lives.
Objective: To assess the health-related quality of live in patients with esophageal achalasia who received videolaparoscopic surgery.
Methods: An observational, descriptive, longitudinal and prospective study was carried out, using the questionnaire GIQLI, in the preoperative interview, three months and then a year following videolaparoscopic surgery, in patients who received achalasia surgery from January to December 2015 in the National Center for Minimally Invasive Surgery. The statistical analysis considered percentages for qualitative variables and mean standard deviation for quantitative variables. In order to assess the actual state of the health-related quality of live, a variance analysis of repetitive measures (ANOVA) was made, with a level of statistical significance α=0.05.
Results: 34 patients were included, three were excluded, 41.2 % of male sex, 58.8 % of female sex, the white skin predominated (66.7 %), average age of 44.8 years, baseline GIQLI score 85.6 (±20.9), after three months 125.2 (±12.4), and after one year 134.0 (±9.6), p=0,000.
Conclusions: The laparoscopic Heller's esophageal cardiomyotomy improves the health-related quality of live in patients with esophageal achalasia.