Shiino Y, Awad ZT, Haynatzki GR, Davis RE, Hinder RA, Filipi CJ. Postmyotomy dysphagia after laparoscopic surgery for achalasia. World J Gastroenterol 2003; 9(5): 1129-1131 [PMID: 12717873 DOI: 10.3748/wjg.v9.i5.1129]
Corresponding Author of This Article
Charles J. Filipi, Professor of Surgery. Department of Surgery, Suite 3740, Creighton University School of Medicine, 601 No. 30th Street, Omaha, NE 68131, USA. cjfilipi@Creighton.edu
Article-Type of This Article
Brief Reports
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World J Gastroenterol. May 15, 2003; 9(5): 1129-1131 Published online May 15, 2003. doi: 10.3748/wjg.v9.i5.1129
Postmyotomy dysphagia after laparoscopic surgery for achalasia
Yutaka Shiino, Ziad T. Awad, Gleb R. Haynatzki, Richard E. Davis, Ronald A. Hinder, Charles J. Filipi
Yutaka Shiino, Ziad T. Awad, Richard E. Davis, Charles J. Filipi, Department of Surgery, Creighton University, 601 N. 30th Street, Omaha, NE 68131, USA
Gleb R. Haynatzki, Department of Medicine, Creighton University, 601 N. 30th Street, Omaha, NE 68131, USA
Ronald A. Hinder, Department of Surgery, Mayo Clinic Jacksonville, 4500 San Pablo Road, Jacksonville, FL 32224, USA
Author contributions: All authors contributed equally to the work.
Correspondence to: Charles J. Filipi, Professor of Surgery. Department of Surgery, Suite 3740, Creighton University School of Medicine, 601 No. 30th Street, Omaha, NE 68131, USA. cjfilipi@Creighton.edu
Telephone: +1-402-2804213 Fax: +402-2804593
Received: December 22, 2002 Revised: January 6, 2003 Accepted: January 20, 2003 Published online: May 15, 2003
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.
