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

Sebastiano Bonventre, Gaspare Gulotta, Francesco Cupido, Valentina Di Paola, 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: Articlepeer review

11 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
RivistaIL GIORNALE DI CHIRURGIA
Volume37
Stato di pubblicazionePublished - 2017

All Science Journal Classification (ASJC) codes

  • Surgery

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