Improving Digestive and Nutritional Status of Patients with Achalasia after Laparoscopic Heller Myotomy Surgery

Background: Nowadays laparoscopic Heller Myotomy (LHM) with partial fundoplication is recommended as the first line of therapy for esophageal achalasia. This study aimed to determine the early efficacy of LHM as the achalasia treatment.Methods: A retrospective study was performed on patients diagnosed with achalasia from ۲۰۱۲ to ۲۰۱۹. Each patient underwent LHM with fundoplication. The clinical success of the surgery was defined as the Eckardt score<۳. Symptoms such as dysphagia, regurgitation, retrosternal pain, regurgitation, and weight loss have been measured pre- and postoperation.Results: A total of ۲۸ patients entered the study including ۴۰% women (۱۱) and ۶۰% men (۱۷). Ten patients underwent LHM following Toupet and ۱۸ patients underwent Dor as a fundoplication. Participants were followed by the Eckardt symptom scoring system. Totally, ۸۹.۲% of patients demonstrated improvement after LHM.Conclusion: LHM with fundoplication was shown to be an effective surgical method to improve achalasia symptoms regardless of the type of fundoplication as about ۹۰% of the patients who underwent LHM illustrated fewer symptoms.

کلیدواژه ها:

Nutrition ، Digestion ، Esophageal achalasia ، Laparoscopy ، Heller Myotomy