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Quality of life assessment after peroral endoscopic myotomy

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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.

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Disclosures

Yalini Vigneswaran, Ryota Tanaka, Matthew Gitelis, Joann Carbray, and Michael B. Ujiki have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Surgery, Section of Minimally Invasive Surgery, NorthShore University HealthSystem, 2650 Ridge Ave, Evanston, IL, 60201, USA

    Yalini Vigneswaran, Ryota Tanaka, Matthew Gitelis, Joann Carbray & Michael B. Ujiki

  2. Department of Surgery, University of Chicago, Chicago, IL

    Yalini Vigneswaran & Michael B. Ujiki

Authors
  1. Yalini Vigneswaran
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  2. Ryota Tanaka
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  3. Matthew Gitelis
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  4. Joann Carbray
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  5. Michael B. Ujiki
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Corresponding author

Correspondence to Michael B. Ujiki.

Additional information

Poster presentation, Society of American Gastrointestinal and Endoscopic Surgeons, April 2014 meeting, Salt Lake City, Utah.

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Vigneswaran, Y., Tanaka, R., Gitelis, M. et al. Quality of life assessment after peroral endoscopic myotomy. Surg Endosc 29, 1198–1202 (2015). https://doi.org/10.1007/s00464-014-3793-2

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  • DOI: https://doi.org/10.1007/s00464-014-3793-2

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