23. Achalasia Cardiac: Examine the Complications of Heller’s Myotomy with and Without Anti-Reflux Procedure
Mohammad Dawood Khan1, Mohyuddin Kakar1 and Naseebullah Zarkoon2
Objective: To examine the outcomes of Heller’s Myotomy with and without anti reflux procedure.
Study Design: Interventional/Comparative study.
Place and Duration of Study: This study was conducted at the Department of Pediatric Surgery Bolan Medical College Hospital Quetta from 1st July 2017 to 30th June 2019.
Materials and Methods: Twenty seven patients of both genders presented with achalasia cardia were enrolled in this study. Patient’s demographics were recorded after written consent. Patients were divided not two groups. Group A had 16 patients and received Heller’s Myotomy (5 to 10cm anterior Myotomy exposing the mucosa, extending distally up to the gastro esophageal junction saving oblique muscle fibers of cardia) and Group B consist of 11 patients and received Heller’s Myotomy without an anti-reflux procedure. Outcomes of both groups were examined. Follow-up was taken at 8th and 16th month post-operatively.
Results: The mean age of patients in Group A was 4.46±3.28 years and in Group B it was 5.36±2.49 years. In Group An 81.25% patients were male while 18.75% were females and in Group B 81.82% were male while 18.18% were females. Mostly patients were presented with multiple symptoms. There was no statistical significant difference between both groups regarding complications till postoperative 8th week (p=>0.05). At final follow-up, patients of Group B had less complications as compared to Group A (p=0.044).
Conclusion: No significant difference in terms of postoperative complications between both groups. However, at 4th postoperative month, patients received Heller’s myotomy without anti reflux procedure had less complications rate as compared to the patients with anti-reflux procedure.
Key Words: Achalasia cardia, Heller’s myotomy, Outcomes.
Citation of article: Khan MD, Kakar M, Zarkoon N. Achalasia Cardia: Examine the Complications of Heller’s Myotomy with and Without Anti-Reflux Procedure. Med Forum 2019;30(11):87-90.