Surgery for dysphagia: A patient centered perspective

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

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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 languageEnglish
    Article number19
    Number of pages7
    JournalAustralian Journal of Otolaryngology(Hong Kong)
    Volume3
    Early online date4 Jun 2020
    DOIs
    Publication statusPublished - Jun 2020

    Keywords

    • Deglutition disorders
    • Endoscopy
    • Prospective studies
    • Quality of life
    • Zenker diverticulum

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