1. Quality of life assessment after peroral endoscopic myotomy.
- Author
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Vigneswaran Y, Tanaka R, Gitelis M, Carbray J, and Ujiki MB
- Subjects
- Aged, Deglutition Disorders etiology, Deglutition Disorders therapy, Esophageal Achalasia complications, Female, Gastroesophageal Reflux etiology, Gastroesophageal Reflux therapy, Humans, Male, Middle Aged, Postoperative Period, Surveys and Questionnaires, Esophageal Achalasia surgery, Esophagoscopy methods, Quality of Life
- Abstract
Background: Peroral Endoscopic Myotomy (POEM) is a promising treatment option for motor disorders of the esophagus. The purpose of this study was to assess quality of life (QOL) postoperatively., Methods: All patients who presented to our institution for surgical treatment of achalasia after 2011 were asked to complete QOL (SF-36), dysphagia, reflux severity index, and GERD questionnaires in clinic preoperatively and postoperatively at approximately 3 weeks, 6 months, and 1 year., Results: Those patients who underwent a POEM procedure (n = 37) demonstrated a significant improvement in dysphagia scores, reflux severity scores, and GERD scores (p < 0.05) at each time point. SF-36 questionnaires specifically demonstrated a significant improvement in several concepts. At 3 weeks, emotional well-being scores were significantly higher (p = 0.006). At 6 months, the following concepts were significantly higher: emotional well-being (p = 0.039), social functioning (p = 0.038), and general health (p = 0.029). At 1 year, the following concepts were significantly higher: role limitations due to physical health (p = 0.001) and social functioning (p = 0.002)., Conclusion: There is a significant improvement in several measures of QOL after POEM, which is comparable to that seen after laparoscopic Heller myotomy.
- Published
- 2015
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