Yıl: 2020 Cilt: 47 Sayı: 1 Sayfa Aralığı: 10 - 15 Metin Dili: İngilizce DOI: 10.5798/dicletip.705538 İndeks Tarihi: 29-10-2020

Our Achalasia Surgery Experiences with the Achalasia Surgery Review

Öz:
Objective: Achalasia means disorder and dysfunction of Lower Esophageal Sphincter. Achalasia treatment was two types:non-surgical treatments and surgical treatments. Heller myotomy is the best surgical method of achalasia. In our study,we want to present our achalasia surgical experiences and the post-operative follow-up status of the patients forcontribution to the literature.Methods: After getting permission from ethics committee of our university, we collected data from patients who operatedfor achalasia between 2011 and 2019 retrospectively in Department of General Surgery, Van Yuzuncu Yil UniversityFaculty of Medicine. Age and gender status, diagnosis process, presence of additional esophageal disease in the distalesophagus, surgical type, length of myotomy, presence of esophageal mucosal repair, duration of hospital stay andpostoperative follow-up status of the patients were evaluated.Findings: In our study, there were 11 patients who underwent achalasia surgery. The mean age of patients was 31.6 (19-50) years. 63.63% (n = 7) of all cases were female and 36.37% (n = 4) were male. Apart from one case (case with hiatalhernia association) other cases were performed laparotomically. The mean myotomy length was calculated as 9.09 (8-15) cm. The mean duration of hospital stay was 5.18 (3-7) days. Among the patients only one patient had difficulty inswallowing in the first month control. But it was observed that the same patient did not have difficulty in swallowing inthe third month control.Discussion: In our study, considering both our post-operative complication status and the patients' 1st and 3rd monthcontrols; we saw that achalasia surgery was performed successfully in our clinic. An important deficiency is thatlaparoscopic surgery is not yet performed at our desired level in our clinic.
Anahtar Kelime:

Akalazya Cerrahisi Derlemesi ile Akalazya Cerrahi Deneyimlerimiz

Öz:
Amaç: Akalazya, Alt Özofagus Sfinkterinin bozukluğu ve disfonksiyonu anlamına gelir. Akalazya tedavisi iki tiptir: cerrahi olmayan tedaviler ve cerrahi tedaviler. Heller miyotomi, akalazyanın en iyi cerrahi tedavi yöntemidir. Çalışmamızda, akalazya cerrahisi deneyimlerimizi ve hastaların ameliyat sonrası takip durumlarını literatüre katkıda bulunmak için sunmak istiyoruz. Yöntemler: Üniversitemizin etik kurulundan izin aldıktan sonra, Van Yüzüncü Yıl Üniversitesi Tıp Fakültesi Genel Cerrahi Servisi’nde 2011-2019 yılları arasında akalazya nedeniyle opere edilen hastaların verilerini retrospektif olarak topladık. Hastaların yaş ve cinsiyet durumu, tanı süreci, distal özofagusta ek özofagus hastalığının varlığı, cerrahi tipi, myotomi uzunluğu, özofagus mukozal onarım varlığı, hastanede kalış süresi ve postoperatif takip durumu değerlendirildi. Bulgular: Çalışmamızda akalazya ameliyatı geçiren 11 hasta vardı. Hastaların ortalama yaşı 31.6 (19-50) idi. Tüm olguların %63,63'ü (n = 7) kadın, %36,37'si (n = 4) erkekti. Bir olgu dışında (hiatal herni birlikteliği olan olgu) olgulara laparotomik cerrahi uygulandı. Ortalama miyotomi uzunluğu 9.09 (8-15) cm olarak hesaplandı. Ortalama hastanede kalış süresi 5.18 (3-7) gündü. Ameliyat geçiren hastalardan sadece birinde ilk ay kontrolünde yutma güçlüğü görüldü. Fakat aynı hastanın üçüncü ay kontrolünde yutma güçlüğü olmadığı görülmüştür. Tartışma: Çalışmamızda hem postoperatif komplikasyon durumumuzu hem de hastaların 1. ve 3. ay kontrollerini göz önünde bulundurarak; akalazya cerrahisinin kliniğimizde başarıyla uygulandığını gördük. Önemli bir eksiklik, kliniğimizde henüz laparoskopik cerrahinin istenilen düzeyde yapılmamasıdır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA KALAYCI T, İLİKLERDEN Ü (2020). Our Achalasia Surgery Experiences with the Achalasia Surgery Review. , 10 - 15. 10.5798/dicletip.705538
Chicago KALAYCI Tolga,İLİKLERDEN ÜMİT HALUK Our Achalasia Surgery Experiences with the Achalasia Surgery Review. (2020): 10 - 15. 10.5798/dicletip.705538
MLA KALAYCI Tolga,İLİKLERDEN ÜMİT HALUK Our Achalasia Surgery Experiences with the Achalasia Surgery Review. , 2020, ss.10 - 15. 10.5798/dicletip.705538
AMA KALAYCI T,İLİKLERDEN Ü Our Achalasia Surgery Experiences with the Achalasia Surgery Review. . 2020; 10 - 15. 10.5798/dicletip.705538
Vancouver KALAYCI T,İLİKLERDEN Ü Our Achalasia Surgery Experiences with the Achalasia Surgery Review. . 2020; 10 - 15. 10.5798/dicletip.705538
IEEE KALAYCI T,İLİKLERDEN Ü "Our Achalasia Surgery Experiences with the Achalasia Surgery Review." , ss.10 - 15, 2020. 10.5798/dicletip.705538
ISNAD KALAYCI, Tolga - İLİKLERDEN, ÜMİT HALUK. "Our Achalasia Surgery Experiences with the Achalasia Surgery Review". (2020), 10-15. https://doi.org/10.5798/dicletip.705538
APA KALAYCI T, İLİKLERDEN Ü (2020). Our Achalasia Surgery Experiences with the Achalasia Surgery Review. Dicle Tıp Dergisi, 47(1), 10 - 15. 10.5798/dicletip.705538
Chicago KALAYCI Tolga,İLİKLERDEN ÜMİT HALUK Our Achalasia Surgery Experiences with the Achalasia Surgery Review. Dicle Tıp Dergisi 47, no.1 (2020): 10 - 15. 10.5798/dicletip.705538
MLA KALAYCI Tolga,İLİKLERDEN ÜMİT HALUK Our Achalasia Surgery Experiences with the Achalasia Surgery Review. Dicle Tıp Dergisi, vol.47, no.1, 2020, ss.10 - 15. 10.5798/dicletip.705538
AMA KALAYCI T,İLİKLERDEN Ü Our Achalasia Surgery Experiences with the Achalasia Surgery Review. Dicle Tıp Dergisi. 2020; 47(1): 10 - 15. 10.5798/dicletip.705538
Vancouver KALAYCI T,İLİKLERDEN Ü Our Achalasia Surgery Experiences with the Achalasia Surgery Review. Dicle Tıp Dergisi. 2020; 47(1): 10 - 15. 10.5798/dicletip.705538
IEEE KALAYCI T,İLİKLERDEN Ü "Our Achalasia Surgery Experiences with the Achalasia Surgery Review." Dicle Tıp Dergisi, 47, ss.10 - 15, 2020. 10.5798/dicletip.705538
ISNAD KALAYCI, Tolga - İLİKLERDEN, ÜMİT HALUK. "Our Achalasia Surgery Experiences with the Achalasia Surgery Review". Dicle Tıp Dergisi 47/1 (2020), 10-15. https://doi.org/10.5798/dicletip.705538