CLINICAL QUALITY OF LIFE AND MANOMETRIC FINDINGS IN NEWLY DIAGNOSED ACHALASIA PATIENTS
Journal Title: Acta Facultatis Medicae Naissensis - Year 2011, Vol 28, Issue 4
Abstract
Scanty information is available regarding the clinical characteristics, quality of life (QoL) profile and manometric findings in unselected newly diagnosed cases of achalasia. Fifty-six consecutive cases of newly diagnosed achalasia have been characterized regarding the symptoms when a standardized protocol was applied, to which was added a more detailed instrument enabling a comprehensive description of the character of the swallowing difficulties. The functions of the esophageal muscle wall and distal sphincter (LES) were recorded by use of standard manometry technologies and a specialized sleeve catheter. These patients’ health related quality of life (QoL) has been characterized by use of the instruments-Psychological well-being index Gastrointestinal symptom Symptom rating scale Scale. Most patients presented with a long duration of symptoms (54,5 months). The doctor’s delay amounted to 5,5 months despite profound swallowing difficulties (Watson score 30.5+/- 1.7; m+/- SE). QoL was significantly impaired both when generic (PGWB) and disease specific (GSRS) instruments were applied. This deterioration was most likely caused by the eating disturbances. At the time of diagnosis the motor characteristics of the esophageal body as well as the LES were severely affected. The vast majority of patients with achalasia are diagnosed at a stage when the disease process has already profoundly destroyed the motor function of the esophagus and the gastroesophageal junction and the quality of life are severely impaired.
Authors and Affiliations
Srđan Kostić, Magnus Ruth, Ann Kjellin, Lars Lundell, Erik Svartholm, Mats Andersson, Hans Lönroth
Keywords
Related Articles
- EP ID EP126262
- DOI -
- Views 96
- Downloads 0
POREĐENJE TRENUTNE I ŽELJENE SITUACIJE U POGLEDU KLINIČKE EVALUACIJE STUDENATA AKUŠERSTVA SA STANOVIŠTA ASISTENATA I SAMIH STUDENATA MAŠHAD FAKULTETA ZA OBRAZOVANJE AKUŠERSKIH I MEDICINSKIH SESTARA
Evaluacija je najvažnije polje efikasnosti kliničke edukacije. Kako je poznavanje trenutne situacije jedan od najvažnijih zahteva za planiranje željene sutuacije i kako nam mišljenje asistenata i studenata pomaže u čitav...
Translation, Cultural Adjustment and Evaluation of Reliability and Validity of “Quality of Life Enjoyment and Satisfaction Questionnaire – Short Form” for Patients with Schizophrenia - - - Prevođenje, kulturalno prilagođavanje i ispitivanje pouzdanosti i punovažnosti “Upitnika o kvalitetu života i zadovoljstvu životom – Kratka verzija” za bolesnike sa shizofrenijom
The Quality of Life Enjoyment and Satisfaction Questionnaire – Short Form is the most often used scale for measuring the quality of life of patients with psychiatric diseases. The aim of this research was to analyze the...
Upoređivanje efekata deksmedetomidina i midazolama na sedaciju dece sa povredom glave radi snimanja CT-om na Odeljenju urgentne medicine
Veliki broj dece koja se upućuju na Odeljenje urgentne medicine javlja se zbog povreda glave. Najčešće se deci daju sedativi kako bi se umirila i savladala strah zbog CT snimanja. Deksmedetomidin i Midazolam pripadaju gr...
ATTAINMENT OF TARGET BLOOD PRESSURE VALUES IN PATIENTS WITH SURVIVED MYOCARDIAL INFARCTION AND DIABETES MELLITUS
Although arterial hypertension is an important factor contributing to cardiovascular complications in coronary patients with and without diabetes mellitus (DM), target values of blood pressure are rarely achieved in prac...
Resistance in Staphylococcus Aureus: The Never-Ending Story
Combating Staphylococcus aureus (S. aureus) infections using antibacterial drugs is actually an ongoing effort to overcome resistance mechanism of this microorganism. In this paper, we discussed (1) the mechanisms of res...