28 KB504 KB24 KB192920262011Adamič, KatjaŠtupnik, Tomažštevilka:10letnik:80str. 740-747ISSN:1318-0347COBISSID:28986585URN:URN:NBN:SI:doc-LOKZEJAUslSlovensko zdravniško društvoZdravniški vestnikAdverse EffectsBalloon DilatationBalonska dilatacijaDeglutition DisordersEsophageal AchalasiaEsophageal PerforationMethodsmotnjepožiralnikPožiralnik, ahalazijaPožiralnik, perforacijapožiranjePožiranje, motnjeRetrospective StudiesRetrospektivne študijeSurgerySurgery, LaparoscopicTherapyTreatment OutcomezdravljenjeZdravljenje, izidAhalazija požiralnika| Esophageal achalasia| retrospective analysis of treatment during 2000-2010| retrospektivna analiza zdravljenja v letih 2000-2010|Background: Esophageal achalasia (EA) is a primary esophageal motility disorder of unclear aetiology. Standard treatments of EA are: pneumatic balloon dilation (PBD) of the lower esophageal sphyncter (LES) and surgical cleaving of the muscle by Heller myotomy. Although the treatment effectively cures dysphagia, the symptoms recur in about a half of the patients. Our pointof interest was long-term effectiveness of EA treatment at our department. Methods: We made a retrospective analysis of EA patients treated at our department of thoracic surgery during the 2000-2010 period. Results: In11 years we performed 187 PBD and 22 laparoscopic myotomies (LM) in 148 patients. Three years after the procedure 65 % of patients after PBD and 90 % of patients after LM showed no signs of disease. The risk of recurrence was 3.56-times greater (p = 0.03) after PBD (in comparison to LM), whereas patients older than 50 years bear 0.51-times lower risk (p = 0.02). The most significant complicatios were esophageal perforation in 3 patients (1.6 %) after PBD and gastroesophageal reflux in 3 patients (15 %) after LM. Conclusions: PBD is a fast, simple, inexpensive and very efficient method of EA treatment, which can be safely performed in almost every patient. LM is farmore expensive and a more complicated method that is more suitable for younger patients, in whom PBD is less effectiveTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo