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Surgical Endoscopy
Published in: Surgical Endoscopy 5/2015

01-05-2015

Quality of life assessment after peroral endoscopic myotomy

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

Published in: Surgical Endoscopy | Issue 5/2015

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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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Metadata
Title
Quality of life assessment after peroral endoscopic myotomy
Authors
Yalini Vigneswaran
Ryota Tanaka
Matthew Gitelis
Joann Carbray
Michael B. Ujiki
Publication date
01-05-2015
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 5/2015
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-014-3793-2

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