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Postmyotomy dysphagia after laparoscopic surgery for achalasia
Yutaka Shiino1, Ziad T Awad, Gleb R Haynatzki
1Department of Surgery, Creighton University, Omaha, NE 68131, USA.
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.