Postmyotomy dysphagia after laparoscopic surgery for achalasia

World J Gastroenterol. 2003 May;9(5):1129-31. doi: 10.3748/wjg.v9.i5.1129.

Abstract

Aim: To determine predictive factors for postoperative dysphagia after laparoscopic myotomy for achalasia.

Methods: Logistic regression was used to investigate the possible association between the response (postoperative dysphagia, with two levels: none/mild and moderate/severe) and several plausible predictive factors.

Results: Eight patients experienced severe or moderate postoperative dysphagia. The logistic regression revealed that only the severity of preoperative dysphagia (with four levels: mild, moderate, severe, and liquid) was a marginally significant (P=0.0575) predictive factor for postoperative dysphagia.

Conclusion: The severity of postoperative dysphagia is strongly associated with preoperative dysphagia. Preoperative symptomatology can significantly impact patient outcome.

MeSH terms

  • Deglutition Disorders / etiology*
  • Digestive System Surgical Procedures / adverse effects*
  • Digestive System Surgical Procedures / methods
  • Esophageal Achalasia / surgery*
  • Female
  • Humans
  • Laparoscopy / adverse effects
  • Laparoscopy / methods
  • Logistic Models
  • Male
  • Postoperative Complications / etiology*
  • Retrospective Studies
  • Risk Factors
  • Treatment Outcome