COMPREHENSIVE ASSESSMENT THE QUALITY OF LIFE IN PATIENTS WITH ESOPHAGEAL ACHALASIA OF III-IV STAGES AFTER EZOPHAGOCARDIOFUNDOPLASTY IN THE DISTANT POSTOPERATIVE PERIOD

The choice of an optimum method of surgical treatment in case of esophageal achalasia of III-IV stage is still a pressing problem. Geller's operation, balloon dilatation and other minimally invasive methods do not allow to achieve the desired effect of smoothing dysphagia. On the other hand, a number of surgeons in case of III-IV stage consider esophageal resection to be more preferable. Due to the attempt to find an optimum method of conservation of the esophagus in case of esophageal achalasia a laparoscopic esophagocardiofundoplasty operation with partial Hill fundoplication was developed. The aim of the research is to assess the long term results of the operation in terms of the quality of life and effectiveness of treatment. The cases of 51 patients suffering from esophageal achalasia of III-IV stage during the period from 2002 to 2016 were included in the research and these cases received special methods developed by the author. The quality of life was assessed with the help of specific questionnaires GERD-HRQL, GIQLI, the dynamics of changes in the weight of the body and the Eckardt scale of indicating the effectiveness of treatment. The results of the research show decrease of indicators on the Eckardt scale from 9.2 ± 0.5 to 1.9 ± 0.2 points, the GERD questionnaire from 17.3 ± 0.8 to 5.9 ± 0.7 points and increase of indicators according to the GIQLI questionnaire from 92.3 ± 1.2 to 122.9 ± 1.5 points and increase in the weight of the body from 22.9 ± 0.6 to 24.7 ± 0.6 kg.

GERD-HRQL, GIQLI, laparoscopic surgery, esophageal diseases, cardiac achalasia, cardiospasm, dysphagia, cardioplasty Eckardt score, GERD-HRQL, GIQLI

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