Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders.

Francesco Cupido, Valentina Di Paola, Sebastiano Bonventre, Gaspare Gulotta, Nunzia Cinzia Paladino, Valentina Di Paola, Raspanti, Silvia Di Giovanni, Angela Inviati, Melfa, Gregorio Scerrino, Bonventre, Porrello, Gulotta, Angela Inviati, Cristina Raspanti, Giuseppina Irene Melfa, Nunzia Cinzia Paladino, Sergio Mazzola, Silvia Di Giovanni

Risultato della ricerca: Article

7 Citazioni (Scopus)

Abstract

BACKGROUND:Patients undergoing thyroidectomy often complain aerodigestive disorders. In a previous study we showed the associations between voice impairment and proximal acid reflux, swallowing impairment and Upper Esophageal Sphyncter (UES) incoordination and the decrease in UES pressure in thirty-six patients observed before and soon afterwards uncomplicated thyroidectomy. This study investigated the state of post-thyroidectomy esophageal motility changes and its associations with these disorders after 18-24 months.PATIENTS AND METHODS:The thirty-six patients prospectively recruited according to selection criteria (thyroid volume ≤60 ml, benign disease, age 18-65 years, previous neck surgery, thyroiditis, pre- or postoperative vocal cord palsy) underwent voice (VIS) and swallowing (SIS) impairment scores, esophageal manometry and pH monitoring once again.RESULTS:After 18-24 months, both VIS and SIS recovered (respectively: p=0,022; p=0,0001); UES pressure increased (p=0,0001) nearing the preoperative values. The persistence of swallowing complaints were associated with the persistence of esophageal incoordination (p=0,03); the association between voice impairment and proximal acid reflux was confirmed (p<0,001).CONCLUSIONS:Our study confirms that aerodigestive disorders after uncomplicated thyroidectomy, largely transient, are strictly connected with upper esophageal motility changes. In this viewpoint, the innervation of upper aerodigestive anatomical structures (larynx, pharynx, upper esophagus) and its variations should be focused.
Lingua originaleEnglish
pagine (da-a)193-199
Numero di pagine7
RivistaDefault journal
Volume37
Stato di pubblicazionePublished - 2017

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Thyroidectomy
Deglutition
Ataxia
Esophageal pH Monitoring
Pressure
Vocal Cord Paralysis
Thyroiditis
Acids
Manometry
Larynx
Pharynx
Patient Selection
Esophagus
Thyroid Gland
Neck

All Science Journal Classification (ASJC) codes

  • Surgery

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Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. / Cupido, Francesco; Di Paola, Valentina; Bonventre, Sebastiano; Gulotta, Gaspare; Paladino, Nunzia Cinzia; Di Paola, Valentina; Raspanti; Di Giovanni, Silvia; Inviati, Angela; Melfa; Scerrino, Gregorio; Bonventre; Porrello; Gulotta; Inviati, Angela; Raspanti, Cristina; Melfa, Giuseppina Irene; Paladino, Nunzia Cinzia; Mazzola, Sergio; Di Giovanni, Silvia.

In: Default journal, Vol. 37, 2017, pag. 193-199.

Risultato della ricerca: Article

Cupido, F, Di Paola, V, Bonventre, S, Gulotta, G, Paladino, NC, Di Paola, V, Raspanti, Di Giovanni, S, Inviati, A, Melfa, Scerrino, G, Bonventre, Porrello, Gulotta, Inviati, A, Raspanti, C, Melfa, GI, Paladino, NC, Mazzola, S & Di Giovanni, S 2017, 'Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders.', Default journal, vol. 37, pagg. 193-199.
Cupido, Francesco ; Di Paola, Valentina ; Bonventre, Sebastiano ; Gulotta, Gaspare ; Paladino, Nunzia Cinzia ; Di Paola, Valentina ; Raspanti ; Di Giovanni, Silvia ; Inviati, Angela ; Melfa ; Scerrino, Gregorio ; Bonventre ; Porrello ; Gulotta ; Inviati, Angela ; Raspanti, Cristina ; Melfa, Giuseppina Irene ; Paladino, Nunzia Cinzia ; Mazzola, Sergio ; Di Giovanni, Silvia. / Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders. In: Default journal. 2017 ; Vol. 37. pagg. 193-199.
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title = "Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders.",
abstract = "BACKGROUND:Patients undergoing thyroidectomy often complain aerodigestive disorders. In a previous study we showed the associations between voice impairment and proximal acid reflux, swallowing impairment and Upper Esophageal Sphyncter (UES) incoordination and the decrease in UES pressure in thirty-six patients observed before and soon afterwards uncomplicated thyroidectomy. This study investigated the state of post-thyroidectomy esophageal motility changes and its associations with these disorders after 18-24 months.PATIENTS AND METHODS:The thirty-six patients prospectively recruited according to selection criteria (thyroid volume ≤60 ml, benign disease, age 18-65 years, previous neck surgery, thyroiditis, pre- or postoperative vocal cord palsy) underwent voice (VIS) and swallowing (SIS) impairment scores, esophageal manometry and pH monitoring once again.RESULTS:After 18-24 months, both VIS and SIS recovered (respectively: p=0,022; p=0,0001); UES pressure increased (p=0,0001) nearing the preoperative values. The persistence of swallowing complaints were associated with the persistence of esophageal incoordination (p=0,03); the association between voice impairment and proximal acid reflux was confirmed (p<0,001).CONCLUSIONS:Our study confirms that aerodigestive disorders after uncomplicated thyroidectomy, largely transient, are strictly connected with upper esophageal motility changes. In this viewpoint, the innervation of upper aerodigestive anatomical structures (larynx, pharynx, upper esophagus) and its variations should be focused.",
author = "Francesco Cupido and {Di Paola}, Valentina and Sebastiano Bonventre and Gaspare Gulotta and Paladino, {Nunzia Cinzia} and {Di Paola}, Valentina and Raspanti and {Di Giovanni}, Silvia and Angela Inviati and Melfa and Gregorio Scerrino and Bonventre and Porrello and Gulotta and Angela Inviati and Cristina Raspanti and Melfa, {Giuseppina Irene} and Paladino, {Nunzia Cinzia} and Sergio Mazzola and {Di Giovanni}, Silvia",
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T1 - Long-term esophageal motility changes after thyroidectomy: associations with aerodigestive disorders.

AU - Cupido, Francesco

AU - Di Paola, Valentina

AU - Bonventre, Sebastiano

AU - Gulotta, Gaspare

AU - Paladino, Nunzia Cinzia

AU - Di Paola, Valentina

AU - Raspanti, null

AU - Di Giovanni, Silvia

AU - Inviati, Angela

AU - Melfa, null

AU - Scerrino, Gregorio

AU - Bonventre, null

AU - Porrello, null

AU - Gulotta, null

AU - Inviati, Angela

AU - Raspanti, Cristina

AU - Melfa, Giuseppina Irene

AU - Paladino, Nunzia Cinzia

AU - Mazzola, Sergio

AU - Di Giovanni, Silvia

PY - 2017

Y1 - 2017

N2 - BACKGROUND:Patients undergoing thyroidectomy often complain aerodigestive disorders. In a previous study we showed the associations between voice impairment and proximal acid reflux, swallowing impairment and Upper Esophageal Sphyncter (UES) incoordination and the decrease in UES pressure in thirty-six patients observed before and soon afterwards uncomplicated thyroidectomy. This study investigated the state of post-thyroidectomy esophageal motility changes and its associations with these disorders after 18-24 months.PATIENTS AND METHODS:The thirty-six patients prospectively recruited according to selection criteria (thyroid volume ≤60 ml, benign disease, age 18-65 years, previous neck surgery, thyroiditis, pre- or postoperative vocal cord palsy) underwent voice (VIS) and swallowing (SIS) impairment scores, esophageal manometry and pH monitoring once again.RESULTS:After 18-24 months, both VIS and SIS recovered (respectively: p=0,022; p=0,0001); UES pressure increased (p=0,0001) nearing the preoperative values. The persistence of swallowing complaints were associated with the persistence of esophageal incoordination (p=0,03); the association between voice impairment and proximal acid reflux was confirmed (p<0,001).CONCLUSIONS:Our study confirms that aerodigestive disorders after uncomplicated thyroidectomy, largely transient, are strictly connected with upper esophageal motility changes. In this viewpoint, the innervation of upper aerodigestive anatomical structures (larynx, pharynx, upper esophagus) and its variations should be focused.

AB - BACKGROUND:Patients undergoing thyroidectomy often complain aerodigestive disorders. In a previous study we showed the associations between voice impairment and proximal acid reflux, swallowing impairment and Upper Esophageal Sphyncter (UES) incoordination and the decrease in UES pressure in thirty-six patients observed before and soon afterwards uncomplicated thyroidectomy. This study investigated the state of post-thyroidectomy esophageal motility changes and its associations with these disorders after 18-24 months.PATIENTS AND METHODS:The thirty-six patients prospectively recruited according to selection criteria (thyroid volume ≤60 ml, benign disease, age 18-65 years, previous neck surgery, thyroiditis, pre- or postoperative vocal cord palsy) underwent voice (VIS) and swallowing (SIS) impairment scores, esophageal manometry and pH monitoring once again.RESULTS:After 18-24 months, both VIS and SIS recovered (respectively: p=0,022; p=0,0001); UES pressure increased (p=0,0001) nearing the preoperative values. The persistence of swallowing complaints were associated with the persistence of esophageal incoordination (p=0,03); the association between voice impairment and proximal acid reflux was confirmed (p<0,001).CONCLUSIONS:Our study confirms that aerodigestive disorders after uncomplicated thyroidectomy, largely transient, are strictly connected with upper esophageal motility changes. In this viewpoint, the innervation of upper aerodigestive anatomical structures (larynx, pharynx, upper esophagus) and its variations should be focused.

UR - http://hdl.handle.net/10447/219894

UR - http://www.giornalechirurgia.it/common/php/portiere.php?ID=bfeb83ec7e1a78f5ab4fb723de979a28

M3 - Article

VL - 37

SP - 193

EP - 199

JO - Default journal

JF - Default journal

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