FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3208214596> ?p ?o ?g. }

• W3208214596 endingPage "S214" @default.
• W3208214596 startingPage "S213" @default.
• W3208214596 abstract "Introduction: Esophagectomy is an effective treatment for end-stage achalasia but is associated with significant postoperative complications. There is a paucity of data regarding the impact of a prior intervention on subsequent esophagectomy in the treatment of advanced achalasia. Our aim is to understand esophagectomy outcomes in end-stage achalasia with and without prior pneumatic dilation (PD) or myotomy. Methods: We performed a retrospective analysis using the IBM Explorys database (1999-2020), a pooled, de-identified clinical database of over 63 million unique patients in the USA. Outcomes were compared between advanced achalasia patients who underwent esophagectomy with and without prior PD or myotomy. Further, subgroup analysis was performed on outcomes between patients who had undergone prior PD versus myotomy. Results: A total of 800 patients underwent esophagectomy for advanced achalasia. There were no significant differences in the baseline characteristics and rates of outcomes between the presence or absence of prior intervention. Based on the type of previous intervention, the cohort was further divided into 2 groups: prior history of PD or prior history of myotomy. Patients with a history of PD before esophagectomy had higher odds of acute myocardial infarction, congestive heart failure, cerebrovascular disease, malnutrition. On the contrary, patients with a history of myotomy had higher odds of chronic renal impairment. In addition, whites were more likely to undergo pneumatic dilation, while African-Americans underwent myotomy more often before esophagectomy. Finally, patients undergoing myotomy before esophagectomy were more likely to be female. (Table) Conclusion: In our study of patients with advanced achalasia, prior PD or esophagomyotomy did not worsen the peri-operative outcomes of esophagectomy. Therefore, regardless of prior intervention, surgical referral for advanced achalasia appears safe. There were also no significant differences in baseline characteristics based on the presence or absence of prior intervention. However, when compared to the type of prior intervention, patients who underwent myotomy before esophagectomy were more likely to have chronic renal impairment, while atherosclerotic vascular disease is more commonly associated with PD.Table 1.: Comparison of baseline characteristics of patients who underwent esophagectomy for advanced achalasia with prior pneumatic dilation to esophagomyotomy." @default.
• W3208214596 created "2021-11-08" @default.
• W3208214596 creator A5024520650 @default.
• W3208214596 creator A5031710900 @default.
• W3208214596 creator A5039192165 @default.
• W3208214596 creator A5052145593 @default.
• W3208214596 creator A5057108692 @default.
• W3208214596 creator A5089509090 @default.
• W3208214596 date "2021-10-01" @default.
• W3208214596 modified "2023-09-27" @default.
• W3208214596 title "S484 Outcomes of Esophagectomy in End-Stage Achalasia: A Nationwide Population-Based Study" @default.
• W3208214596 doi "https://doi.org/10.14309/01.ajg.0000774408.54763.87" @default.
• W3208214596 hasPublicationYear "2021" @default.
• W3208214596 type Work @default.
• W3208214596 sameAs 3208214596 @default.
• W3208214596 citedByCount "0" @default.
• W3208214596 crossrefType "journal-article" @default.
• W3208214596 hasAuthorship W3208214596A5024520650 @default.
• W3208214596 hasAuthorship W3208214596A5031710900 @default.
• W3208214596 hasAuthorship W3208214596A5039192165 @default.
• W3208214596 hasAuthorship W3208214596A5052145593 @default.
• W3208214596 hasAuthorship W3208214596A5057108692 @default.
• W3208214596 hasAuthorship W3208214596A5089509090 @default.
• W3208214596 hasBestOaLocation W32082145961 @default.
• W3208214596 hasConcept C121608353 @default.
• W3208214596 hasConcept C126322002 @default.
• W3208214596 hasConcept C141071460 @default.
• W3208214596 hasConcept C167135981 @default.
• W3208214596 hasConcept C2776928572 @default.
• W3208214596 hasConcept C2777297899 @default.
• W3208214596 hasConcept C2777365487 @default.
• W3208214596 hasConcept C2777819096 @default.
• W3208214596 hasConcept C2779742542 @default.
• W3208214596 hasConcept C2779958274 @default.
• W3208214596 hasConcept C71924100 @default.
• W3208214596 hasConceptScore W3208214596C121608353 @default.
• W3208214596 hasConceptScore W3208214596C126322002 @default.
• W3208214596 hasConceptScore W3208214596C141071460 @default.
• W3208214596 hasConceptScore W3208214596C167135981 @default.
• W3208214596 hasConceptScore W3208214596C2776928572 @default.
• W3208214596 hasConceptScore W3208214596C2777297899 @default.
• W3208214596 hasConceptScore W3208214596C2777365487 @default.
• W3208214596 hasConceptScore W3208214596C2777819096 @default.
• W3208214596 hasConceptScore W3208214596C2779742542 @default.
• W3208214596 hasConceptScore W3208214596C2779958274 @default.
• W3208214596 hasConceptScore W3208214596C71924100 @default.
• W3208214596 hasIssue "1" @default.
• W3208214596 hasLocation W32082145961 @default.
• W3208214596 hasLocation W32082145962 @default.
• W3208214596 hasOpenAccess W3208214596 @default.
• W3208214596 hasPrimaryLocation W32082145961 @default.
• W3208214596 hasRelatedWork W1452895882 @default.
• W3208214596 hasRelatedWork W1967723636 @default.
• W3208214596 hasRelatedWork W1997786425 @default.
• W3208214596 hasRelatedWork W2035347082 @default.
• W3208214596 hasRelatedWork W2065367143 @default.
• W3208214596 hasRelatedWork W2080854309 @default.
• W3208214596 hasRelatedWork W2398957325 @default.
• W3208214596 hasRelatedWork W2411824055 @default.
• W3208214596 hasRelatedWork W2913040867 @default.
• W3208214596 hasRelatedWork W3110287462 @default.
• W3208214596 hasVolume "116" @default.
• W3208214596 isParatext "false" @default.
• W3208214596 isRetracted "false" @default.
• W3208214596 magId "3208214596" @default.
• W3208214596 workType "article" @default.