Publications by authors named "M Sanaka"
Article Synopsis
- The study introduces the esophageal length-to-height ratio (LHR) to measure the tortuosity of the esophagus in patients with achalasia, aiming to relate it to preoperative characteristics and post-surgery outcomes.
- Over 400 adult patients underwent myotomy, and the LHR was calculated pre- and postoperatively, revealing that higher LHR was associated with poorer outcomes in symptom relief and esophageal emptying.
- The findings indicate that LHR is a strong predictor of postoperative success, while the manometric subtype had a lesser impact on patient outcomes, showcasing a need for more tailored assessments in achalasia treatment.
Article Synopsis
- The study aimed to determine how body mass index (BMI) affects hospitalizations for Acute Pancreatitis (AP) in the US from 2016-2019.
- Data showed that the majority of AP hospitalizations were among obese patients, who had younger ages but fewer complications compared to those of normal weight.
- Normal weight patients had higher rates of mortality and complications, such as pancreatic necrosis and pseudocysts, despite a longer hospital stay and higher healthcare costs compared to obese patients.
Background: Type I achalasia comprises 20% of achalasia and has nearly absent esophageal motor activity. Concerns that fundoplication decreases the effectiveness of Heller myotomy in these patients has increased adoption of peroral endoscopic myotomy (POEM). Hence, we compared outcomes after Heller myotomy with Dor fundoplication vs POEM.
View Article and Find Full Text PDF