ABSTRACT
Aim: The purpose of this study was to determine the efficacy of Heller myotomy for the treatment of achalasia in a referral center in Tehran, and investigate the clinical characteristics, manometric results and treatment responses among three achalasia subtypes in Iranian patients
Background: Esophageal achalasia is an unusual swallowing disorder, characterized by high pressure in the lower esophageal sphincter [LES] on swallowing, failure relaxation of the LES and the absence of peristalsis in esophageal
Patients and methods: In this cross sectional study, clinical symptom and esophageal manometry before and 2 months after treating with Heller myotomy in 20 patients with achalasia who were referred to Taleghani Hospital, Tehran, in 2013 were evaluated. Patients' demographic, clinical features and response to treatment were analyzed using SPSS software [version 20, Chicago, IL, USA]
Results: All the diagnostic criteria measured after the treatment were significantly different [P<0.05] before and after the therapy. The average decline in the length of the esophagus was 1.8 cm and dysphasia score was 7.25 units. Also an average decline in LES Resting Pressure, LES Residual Pressure, PIP, and IRP were 23.2 mmHg, 14.3 mmHg, 3.4 mmHg and 17.8 mmHg, respectively
Conclusion: Results of this study showed that the Heller myotomy is highly effective in relieving dysphasia in patients with achalasia. Also, type II achalasia is the most common subtype of achalasia with a better response to Heller myotomy compared to the other types
Subject(s)
Adult , Female , Humans , Male , Manometry , Cross-Sectional Studies , PatientsABSTRACT
The aim of this study was to compare the long-term effects of cognitive-behavioral treatment and mindfulnessbased treatment on decreasing symptoms of patients suffering from irritable bowel syndrome [IBS]. One of the most modern therapies put forward in therapy of IBS is mindfulness-based metacognitive therapy. In this quasi-experimental study, 36 people with mean age of 32 years old, including 24 patients with IBS and 12 healthy normal subjects as control group, were studied. Patients with IBS were randomly divided into two experimental groups of cognitive-behavioral treatment [n=12] and mindfulness-based treatment [n=12]. Data were analysed by one-way covariance analysis. There was significant decrease of the symptoms of IBS among two treatment groups versus control group in long-term [p<0.05]. Mindfulness-based therapy was the most effective technique in decreasing symptoms. This study showed mindfulness-based therapy, as a modern psychotherapy technique, is an effective method to decrease symptoms of patients with irritable bowel syndrome, compared with old methods. Therefore, this technique is advised among these patients, especially those who have refractory symptoms.
ABSTRACT
The current research is performed to compare the effectiveness of two methods of cognitive behavior therapy and mindfulness based therapy in decreasing symptoms of patients who suffer from irritable bowel syndrome. This was a quasi-experimental design study that consisted of an experimental group subdivided into two groups [pre- and final test] and a control group. Based on convenience sampling we randomly assigned 36 persons, 20 males and 16 females, n=12 per group, micro=32 years of age, to one of the three groups. Irritable bowel syndrome symptoms significantly decreased between the two treatment groups and the control group [p<0.05], which we attributed to the benefits of mindfulness based therapy. Therapists should consider modern psychotherapy techniques such as mindfulness based therapy as potential methods for decreasing the clinical symptoms of irritable bowel syndrome. Older techniques are not always perfect or effective.