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
Publisher
Frontiers Media
Date Issued
2022
Author(s)
Olvera-Prado, Héctor
Peralta-Figueroa, José
Narváez-Chávez, Sofía
Rendón-Macías, Mario E.
Pérez-Ortiz, Andric C.
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
text::journal::journal article
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 © The authors © 2022 Frontiers in Medicine.
License
Acceso Abierto
How to cite
Olvera-Prado H, Peralta-Figueroa J, Narváez-Chávez S, Rendón-Macías ME, Perez-Ortiz A, Furuzawa-Carballeda J, Méndez-Flores S, Núñez-Pompa MC, Trigos-Díaz A, Areán-Sanz R, López-Verdugo F, Coss-Adame E, Valdovinos MA and Torres-Villalobos G (2022) Predictive factors associated with the persistence of chest pain in post-laparoscopic myotomy and fundoplication in patients with achalasia. Front. Med. 9:941581. doi: 10.3389/fmed.2022.941581