COMPREHENSIVE ASSESSMENT THE QUALITY OF LIFE IN PATIENTS WITH ESOPHAGEAL ACHALASIA OF III-IV STAGES AFTER EZOPHAGOCARDIOFUNDOPLASTY IN THE DISTANT POSTOPERATIVE PERIOD

The choice of an optimum method of surgical treatment in case of esophageal achalasia of III-IV stage is still a pressing problem. Geller's operation, balloon dilatation and other minimally invasive methods do not allow to achieve the desired effect of smoothing dysphagia. On the other hand, a...

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Autores principales:	Y. M. Kovgan, V. V. Anishchenko, A. G. Nalbandyan, D. A. Kim, I. V. Nalbandyan
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	gerd-hrql giqli laparoscopic surgery esophageal diseases cardiac achalasia cardiospasm dysphagia cardioplasty eckardt score Science Q
Acceso en línea:	https://doaj.org/article/468fe4a016c64d379b5a2b2817640117
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spelling	oai:doaj.org-article:468fe4a016c64d379b5a2b28176401172021-11-23T06:14:39ZCOMPREHENSIVE ASSESSMENT THE QUALITY OF LIFE IN PATIENTS WITH ESOPHAGEAL ACHALASIA OF III-IV STAGES AFTER EZOPHAGOCARDIOFUNDOPLASTY IN THE DISTANT POSTOPERATIVE PERIOD2541-94202587-959610.12737/article_5a0a8b42cf3de3.14684312https://doaj.org/article/468fe4a016c64d379b5a2b28176401172017-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/482https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The choice of an optimum method of surgical treatment in case of esophageal achalasia of III-IV stage is still a pressing problem. Geller's operation, balloon dilatation and other minimally invasive methods do not allow to achieve the desired effect of smoothing dysphagia. On the other hand, a number of surgeons in case of III-IV stage consider esophageal resection to be more preferable. Due to the attempt to find an optimum method of conservation of the esophagus in case of esophageal achalasia a laparoscopic esophagocardiofundoplasty operation with partial Hill fundoplication was developed. The aim of the research is to assess the long term results of the operation in terms of the quality of life and effectiveness of treatment. The cases of 51 patients suffering from esophageal achalasia of III-IV stage during the period from 2002 to 2016 were included in the research and these cases received special methods developed by the author. The quality of life was assessed with the help of specific questionnaires GERD-HRQL, GIQLI, the dynamics of changes in the weight of the body and the Eckardt scale of indicating the effectiveness of treatment. The results of the research show decrease of indicators on the Eckardt scale from 9.2 ± 0.5 to 1.9 ± 0.2 points, the GERD questionnaire from 17.3 ± 0.8 to 5.9 ± 0.7 points and increase of indicators according to the GIQLI questionnaire from 92.3 ± 1.2 to 122.9 ± 1.5 points and increase in the weight of the body from 22.9 ± 0.6 to 24.7 ± 0.6 kg.Y. M. KovganV. V. AnishchenkoA. G. NalbandyanD. A. KimI. V. NalbandyanScientific Сentre for Family Health and Human Reproduction Problemsarticlegerd-hrqlgiqlilaparoscopic surgeryesophageal diseasescardiac achalasiacardiospasmdysphagiacardioplasty eckardt scoregerd-hrqlgiqliScienceQRUActa Biomedica Scientifica, Vol 2, Iss 6, Pp 124-129 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	gerd-hrql giqli laparoscopic surgery esophageal diseases cardiac achalasia cardiospasm dysphagia cardioplasty eckardt score gerd-hrql giqli Science Q
spellingShingle	gerd-hrql giqli laparoscopic surgery esophageal diseases cardiac achalasia cardiospasm dysphagia cardioplasty eckardt score gerd-hrql giqli Science Q Y. M. Kovgan V. V. Anishchenko A. G. Nalbandyan D. A. Kim I. V. Nalbandyan COMPREHENSIVE ASSESSMENT THE QUALITY OF LIFE IN PATIENTS WITH ESOPHAGEAL ACHALASIA OF III-IV STAGES AFTER EZOPHAGOCARDIOFUNDOPLASTY IN THE DISTANT POSTOPERATIVE PERIOD
description	The choice of an optimum method of surgical treatment in case of esophageal achalasia of III-IV stage is still a pressing problem. Geller's operation, balloon dilatation and other minimally invasive methods do not allow to achieve the desired effect of smoothing dysphagia. On the other hand, a number of surgeons in case of III-IV stage consider esophageal resection to be more preferable. Due to the attempt to find an optimum method of conservation of the esophagus in case of esophageal achalasia a laparoscopic esophagocardiofundoplasty operation with partial Hill fundoplication was developed. The aim of the research is to assess the long term results of the operation in terms of the quality of life and effectiveness of treatment. The cases of 51 patients suffering from esophageal achalasia of III-IV stage during the period from 2002 to 2016 were included in the research and these cases received special methods developed by the author. The quality of life was assessed with the help of specific questionnaires GERD-HRQL, GIQLI, the dynamics of changes in the weight of the body and the Eckardt scale of indicating the effectiveness of treatment. The results of the research show decrease of indicators on the Eckardt scale from 9.2 ± 0.5 to 1.9 ± 0.2 points, the GERD questionnaire from 17.3 ± 0.8 to 5.9 ± 0.7 points and increase of indicators according to the GIQLI questionnaire from 92.3 ± 1.2 to 122.9 ± 1.5 points and increase in the weight of the body from 22.9 ± 0.6 to 24.7 ± 0.6 kg.
format	article
author	Y. M. Kovgan V. V. Anishchenko A. G. Nalbandyan D. A. Kim I. V. Nalbandyan
author_facet	Y. M. Kovgan V. V. Anishchenko A. G. Nalbandyan D. A. Kim I. V. Nalbandyan
author_sort	Y. M. Kovgan
title	COMPREHENSIVE ASSESSMENT THE QUALITY OF LIFE IN PATIENTS WITH ESOPHAGEAL ACHALASIA OF III-IV STAGES AFTER EZOPHAGOCARDIOFUNDOPLASTY IN THE DISTANT POSTOPERATIVE PERIOD
title_short	COMPREHENSIVE ASSESSMENT THE QUALITY OF LIFE IN PATIENTS WITH ESOPHAGEAL ACHALASIA OF III-IV STAGES AFTER EZOPHAGOCARDIOFUNDOPLASTY IN THE DISTANT POSTOPERATIVE PERIOD
title_full	COMPREHENSIVE ASSESSMENT THE QUALITY OF LIFE IN PATIENTS WITH ESOPHAGEAL ACHALASIA OF III-IV STAGES AFTER EZOPHAGOCARDIOFUNDOPLASTY IN THE DISTANT POSTOPERATIVE PERIOD
title_fullStr	COMPREHENSIVE ASSESSMENT THE QUALITY OF LIFE IN PATIENTS WITH ESOPHAGEAL ACHALASIA OF III-IV STAGES AFTER EZOPHAGOCARDIOFUNDOPLASTY IN THE DISTANT POSTOPERATIVE PERIOD
title_full_unstemmed	COMPREHENSIVE ASSESSMENT THE QUALITY OF LIFE IN PATIENTS WITH ESOPHAGEAL ACHALASIA OF III-IV STAGES AFTER EZOPHAGOCARDIOFUNDOPLASTY IN THE DISTANT POSTOPERATIVE PERIOD
title_sort	comprehensive assessment the quality of life in patients with esophageal achalasia of iii-iv stages after ezophagocardiofundoplasty in the distant postoperative period
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/468fe4a016c64d379b5a2b2817640117
work_keys_str_mv	AT ymkovgan comprehensiveassessmentthequalityoflifeinpatientswithesophagealachalasiaofiiiivstagesafterezophagocardiofundoplastyinthedistantpostoperativeperiod AT vvanishchenko comprehensiveassessmentthequalityoflifeinpatientswithesophagealachalasiaofiiiivstagesafterezophagocardiofundoplastyinthedistantpostoperativeperiod AT agnalbandyan comprehensiveassessmentthequalityoflifeinpatientswithesophagealachalasiaofiiiivstagesafterezophagocardiofundoplastyinthedistantpostoperativeperiod AT dakim comprehensiveassessmentthequalityoflifeinpatientswithesophagealachalasiaofiiiivstagesafterezophagocardiofundoplastyinthedistantpostoperativeperiod AT ivnalbandyan comprehensiveassessmentthequalityoflifeinpatientswithesophagealachalasiaofiiiivstagesafterezophagocardiofundoplastyinthedistantpostoperativeperiod
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COMPREHENSIVE ASSESSMENT THE QUALITY OF LIFE IN PATIENTS WITH ESOPHAGEAL ACHALASIA OF III-IV STAGES AFTER EZOPHAGOCARDIOFUNDOPLASTY IN THE DISTANT POSTOPERATIVE PERIOD

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