OBJECTIVE: To identify predictors of long-term outcome of laparoscopic Heller myotomy for @entity1318 , including predictors of heartburn and recurrent @entity1282 , which occasionally develop postoperatively. DESIGN: Retrospective review using interviews of @entity1 . SETTING: Academic university hospital. @entity1 : One hundred sixty-five @entity1 with @entity1318 who underwent a laparoscopic esophagomyotomy and @entity2911 fundoplication. MAIN OUTCOME MEASURES: @entity1282 and heartburn before and after the operation were assessed on a 4-point Likert scale, as were postoperative dilations, reoperations, and antacid use. Potential predictors were age, race, sex, body mass index, @entity353 , duration of symptoms, manometry findings, esophageal diameter, previous treatment, and operative technique. RESULTS: Follow-up averaged 62 (range, 1-174) months. @entity1282 frequency was once a week or less in 128 @entity1 (78%), several times per week in 25 (15%), and daily in 12 (7%). Satisfaction scores averaged 3.7 on a 4-point scale. Thirty @entity1 (18%) required a postoperative dilation, and 6 (4%) underwent another operation. The only predictor of postoperative @entity1282 was duration of symptoms longer than 10 years (odds ratio, 0.2; P = .03). Preoperative dilations predicted the need for postoperative dilations (odds ratio, 2.4; P = .03). Only 20 @entity1 (12%) reported heartburn more than once weekly, although 75 (45%) reported taking antacids. No variable predicted postoperative heartburn or antacid use. CONCLUSIONS: Long-term outcomes after laparoscopic esophagomyotomy were excellent across a wide spectrum of disease severity and presentations. Previous treatments, such as @entity384 or botulinum toxin (Botox) injection, did not portend worse outcomes. When the myotomy was extended 2 cm onto the stomach and a @entity2911 fundoplication was performed, severe heartburn was rare.

Predictors of long-term outcome after laparoscopic esophagomyotomy and XXXX fundoplication for @entity1318 .

@entity1318 :: ('MESH:D004931', 'Disease') :: ['achalasia'] @entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity353 :: ('MESH:D015431', 'Disease') :: ['weight loss'] @entity384 :: ('MESH:D002311', 'Disease') :: ['balloon dilation'] @entity2911 :: ('58476', 'Gene') :: ['Dor'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['Dysphagia', 'dysphagia']
@entity2911 :: (58476,Gene) :: ['Dor']
