İstanbul Kuzey Klinikleri Dergisi

[North Clin Istanb]
North Clin Istanb. Baskıdaki Makaleler: NCI-08466 | DOI: 10.14744/nci.2024.08466  

Bahri Abayli1, Ali Ilker Ozer2, Adnan Kuvvetli3, Ozan Demir1, Serdar Biricik1, Begum Seyda Avci4, Duygu Felek5, Ozge Sahan1, Mustafa Oguz Tugcan1, Hilmi Erdem Sumbul4, Akkan Avci1
1Seyhan Devlet Hastanesi, Gastroenteroloji Kliniği, Adana
2Sağlık Bilimleri Üniversitesi, Adana Şehir Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Adana
3Sağlık Bilimleri Üniversitesi, Adana Şehir Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Adana
4Sağlık Bilimleri Üniversitesi, Adana Şehir Eğitim ve Araştırma Hastanesi, İç Hastalıkları Kliniği, Adana
5Yozgat Sorgun Şehir Hastanesi, Yozgat

(NCI-2022-12-24)



Clinical efficacy of peroral endoscopic myotomy treatment performed in patients diagnosed with achalasia

Bahri Abayli1, Ali Ilker Ozer2, Adnan Kuvvetli3, Ozan Demir1, Serdar Biricik1, Begum Seyda Avci4, Duygu Felek5, Ozge Sahan1, Mustafa Oguz Tugcan1, Hilmi Erdem Sumbul4, Akkan Avci1
1Seyhan State Hospital, Department of Gastroenterology, Adana, Turkiye
2Department of Emergency Medicine, University of Health Sciences, Adana City Research and Training Hospital, Adana, Turkiye
3Department of General Surgery, University of Health Sciences, Adana City Research and Training Hospital, Adana, Turkiye
4Department of Internal Medicine, University of Health Sciences, Adana City Research and Training Hospital, Adana, Turkiye
5Yozgat Sorgun City Hospital, Yozgat, Turkiye

Objective: Achalasia is movement disorder of esophagus continue with chest pain, dysphagia, weight loss, regurgitation of undigested foods, recurrent aspiration and night cough.
Methods: Weight loss, presence of dysphagia, presence of retrosternal pain and regurgitation were recorded before POEM treatment and preoperative Eckardt Score was calculated and recorded. Patients were recorded at 6th month after POEM treatment recording weight loss, dysphagia presence, retrosternal pain and regurgitation presence and calculating postoperative Eckardt Score.
Results: The change between the postoperative and preoperative values of the patients was calculated as ∆ value. As a result of the examination no significant difference was found between the values ∆weight loss, ∆dysphagia, ∆retrosternal pain, ∆regurgitation and ∆Eckardt score and gender variable. (respectively p=0,112; p=0,412; p=0,619; p=0,171; p=0,092). Postoperative weight loss, dysphagia, retrosternal pain, regurgitation and Eckardt score values were found to be lower than preoperative values. (respectively p<0,001;p<0,001; p<0,001; p<0,001; p<0,001).
Conclusion: Peroral Endoscopic Myotomy treatment is an effective treatment method with being more reliable, its lower complication risk, being less invasive and with postprocedurel and clinical results.

Keywords: Dysphagia; Eckardt Score; peroral endoscopic myotomy; regurgitation; weight loss.




Sorumlu Yazar: Ali Ilker Ozer


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