Predictive factors associated with the persistence of chest pain in post-laparoscopic myotomy and fundoplication in patients with achalasia

Olvera-Prado, Héctor; Peralta-Figueroa, José; Narváez-Chávez, Sofía; Furuzawa-Carballeda, Janette; Méndez-Flores, Silvia; Núñez-Pompa, María del Carmen; Trigos-Díaz, Alonso; Areán-Sanz, Rodrigo; López-Verdugo, Fidel; Coss-Adame, Enrique; Valdovinos, Miguel A.; Torres-Villalobos, Gonzalo

doi:10.3389/fmed.2022.941581

Predictive factors associated with the persistence of chest pain in post-laparoscopic myotomy and fundoplication in patients with achalasia

Journal

Frontiers in Medicine

ISSN

2296-858X

Date Issued

2022

Author(s)

Olvera-Prado, Héctor

Peralta-Figueroa, José

Narváez-Chávez, Sofía

Furuzawa-Carballeda, Janette

Méndez-Flores, Silvia

Núñez-Pompa, María del Carmen

Trigos-Díaz, Alonso

Areán-Sanz, Rodrigo

López-Verdugo, Fidel

Coss-Adame, Enrique

Valdovinos, Miguel A.

Torres-Villalobos, Gonzalo

Type

Resource Types::text::journal::journal article

DOI

10.3389/fmed.2022.941581

URL

https://scripta.up.edu.mx/handle/20.500.12552/3867

Abstract

Background: Episodic angina-like retrosternal pain is a prevalent symptom for achalasia patients pre- and post-treatment. The cause of postoperative chest pain remains poorly understood. Moreover, there are no reports on their predictive value for chest pain in the long-term post-treatment. The effect of laparoscopic Heller myotomy (LHM) and fundoplication techniques (Dor vs. Toupet) is unclear. Methods: We analyzed a cohort of 129 achalasia cases treated with LHM and randomly assigned fundoplication technique. All the patients were diagnosed with achalasia by high-resolution manometry (HRM). Patients were followed up at 1-, 6-, 12-, and 24-month post-treatment. We implemented unadjusted and adjusted logistic regression analyses to evaluate the predictive significance of pre- and post-operative clinical factors. Copyright © 2022 Frontiers in Medicine