Manometric and Symptomatic Changes in Patients Undergoing Heller's Myotomy and Fundoplication by Acalasia
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Abstract
Introduction: Achalasia occurs in up to 10 out of every 100,000 people worldwide, is associated with a large number of symptoms that can impact the patient's quality of life; laparoscopic myotomy of Héller with fundoplication represents the gold standard surgery in the treatment of this condition, has shown symptomatic improvement of the patient, However, studies have reported that there are no significant manometric and symptomatic changes in postoperative follow-up, and little has been reported in the literature, particularly in our population.
Objective: To determine manometric and symptomatic changes in patients undergoing heller's myotomy and achalasia fundoplication.
Material and methods: Prospective analytical observational study to be performed in patients undergoing Heller's myotomy and fundoplication due to achalasia performed by the Surgery Service of the UMAE25 of the IMSS, the symptomatology (eckardt) and manometric changes (Chicago) will be evaluated during the pre and post-surgical, it will be established if there are statistically significant differences in the postoperative using t student, Anova and Chi Square with a 95% confidence level and 5% margin of error.
Conclusion: Through this protocol we can conclude thatthere are significant symptomatic and manometric changes in patients undergoing heller's myotomy and fundoplication due to achalasia, in the contrast of an adequate presurgical assessment, the technical knowledge to avoid falling into biases of the operator (surgeon), with an adequate technique and follow-up, as well as close monitoring of patients
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