Surgery for dysphagia: A patient centered perspective

Thomas Napier; Peter Ross; Samuel Greig; Alexandra Smedley; Robert Allison

doi:10.21037/ajo-19-52

Surgery for dysphagia: A patient centered perspective

Thomas Napier (Lead / Corresponding author), Peter Ross, Samuel Greig, Alexandra Smedley, Robert Allison

Research output: Contribution to journal › Review article › peer-review

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Abstract

Background: Our prospective cohort study assesses patient-reported outcomes following an open approach (cricopharyngeal myotomy with pouch inversion) or endoscopic stapling (ES) of pharyngeal pouches.

Methods: Patients with pharyngeal pouches who were treated with either ES or an open cricopharyngeal myotomy (OM) were recruited over a 4-year period. Patients completed a modified SWAL-QOL questionnaire pre-operatively and 6 weeks post-operatively and a post-operative Glasgow Benefit Inventory (GBI) questionnaire.

Results: Fifty-five patients were included, 11 in the endoscopic group and 44 in the open group. The average change in modified SWAL-QOL was 31.6 in the ES group and 36.1 in the OM group. The GBI score was 33.6 and 38.3 in the endoscopic and open groups respectively.

Conclusions: This study suggests that open surgery leads to greater or equal patient satisfaction in the modified SWAL-QOL score and the GBI score when compared to endoscopic surgery. Both methods confer significant improvement in a validated quality-of-life measure.

Original language	English
Article number	19
Number of pages	7
Journal	Australian Journal of Otolaryngology(Hong Kong)
Volume	3
Early online date	4 Jun 2020
DOIs	https://doi.org/10.21037/ajo-19-52
Publication status	Published - Jun 2020

Keywords

Deglutition disorders
Endoscopy
Prospective studies
Quality of life
Zenker diverticulum

ASJC Scopus subject areas

Otorhinolaryngology

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10.21037/ajo-19-52Licence: CC BY-NC-ND

Final Published VersionFinal published version, 209 KBLicence: CC BY-NC-ND

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title = "Surgery for dysphagia: A patient centered perspective",

abstract = "Background: Our prospective cohort study assesses patient-reported outcomes following an open approach (cricopharyngeal myotomy with pouch inversion) or endoscopic stapling (ES) of pharyngeal pouches.Methods: Patients with pharyngeal pouches who were treated with either ES or an open cricopharyngeal myotomy (OM) were recruited over a 4-year period. Patients completed a modified SWAL-QOL questionnaire pre-operatively and 6 weeks post-operatively and a post-operative Glasgow Benefit Inventory (GBI) questionnaire.Results: Fifty-five patients were included, 11 in the endoscopic group and 44 in the open group. The average change in modified SWAL-QOL was 31.6 in the ES group and 36.1 in the OM group. The GBI score was 33.6 and 38.3 in the endoscopic and open groups respectively.Conclusions: This study suggests that open surgery leads to greater or equal patient satisfaction in the modified SWAL-QOL score and the GBI score when compared to endoscopic surgery. Both methods confer significant improvement in a validated quality-of-life measure.",

keywords = "Deglutition disorders, Endoscopy, Prospective studies, Quality of life, Zenker diverticulum",

author = "Thomas Napier and Peter Ross and Samuel Greig and Alexandra Smedley and Robert Allison",

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doi = "10.21037/ajo-19-52",

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T1 - Surgery for dysphagia

T2 - A patient centered perspective

AU - Napier, Thomas

AU - Ross, Peter

AU - Greig, Samuel

AU - Smedley, Alexandra

AU - Allison, Robert

PY - 2020/6

Y1 - 2020/6

N2 - Background: Our prospective cohort study assesses patient-reported outcomes following an open approach (cricopharyngeal myotomy with pouch inversion) or endoscopic stapling (ES) of pharyngeal pouches.Methods: Patients with pharyngeal pouches who were treated with either ES or an open cricopharyngeal myotomy (OM) were recruited over a 4-year period. Patients completed a modified SWAL-QOL questionnaire pre-operatively and 6 weeks post-operatively and a post-operative Glasgow Benefit Inventory (GBI) questionnaire.Results: Fifty-five patients were included, 11 in the endoscopic group and 44 in the open group. The average change in modified SWAL-QOL was 31.6 in the ES group and 36.1 in the OM group. The GBI score was 33.6 and 38.3 in the endoscopic and open groups respectively.Conclusions: This study suggests that open surgery leads to greater or equal patient satisfaction in the modified SWAL-QOL score and the GBI score when compared to endoscopic surgery. Both methods confer significant improvement in a validated quality-of-life measure.

AB - Background: Our prospective cohort study assesses patient-reported outcomes following an open approach (cricopharyngeal myotomy with pouch inversion) or endoscopic stapling (ES) of pharyngeal pouches.Methods: Patients with pharyngeal pouches who were treated with either ES or an open cricopharyngeal myotomy (OM) were recruited over a 4-year period. Patients completed a modified SWAL-QOL questionnaire pre-operatively and 6 weeks post-operatively and a post-operative Glasgow Benefit Inventory (GBI) questionnaire.Results: Fifty-five patients were included, 11 in the endoscopic group and 44 in the open group. The average change in modified SWAL-QOL was 31.6 in the ES group and 36.1 in the OM group. The GBI score was 33.6 and 38.3 in the endoscopic and open groups respectively.Conclusions: This study suggests that open surgery leads to greater or equal patient satisfaction in the modified SWAL-QOL score and the GBI score when compared to endoscopic surgery. Both methods confer significant improvement in a validated quality-of-life measure.

KW - Deglutition disorders

KW - Endoscopy

KW - Prospective studies

KW - Quality of life

KW - Zenker diverticulum

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DO - 10.21037/ajo-19-52

M3 - Review article

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JO - Australian Journal of Otolaryngology(Hong Kong)

JF - Australian Journal of Otolaryngology(Hong Kong)

M1 - 19

ER -

Surgery for dysphagia: A patient centered perspective

Abstract

Keywords

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