Achalasia Secondary to Submucosal Invasion by Poorly Differentiated Adenocarcinoma of the Cardia, Siewert II: Consideration on Preoperative Workup

Agrusa, Antonino; Frazzetta, Gayle; G, De Vita; Chianetta, Daniela; Buono, Giuseppe Di; S, Di Giovanni; Sorce, Vincenzo; Gulotta, Gaspare

doi:10.1155/2014/654917

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…The myotomy began on the esophagus and proceeded towards above 4-6 cm, before passing to the gastric side for another 2 cm. A 180° Dor fundoplication was performed for the dual purpose of controlling gastroesophageal reflux and protecting the esophageal submucosa [ 20 , 21 ]. In the treatment of reflux disease left and right crura were exposed and a retroesophageal window was created.…”

Section: Methodsmentioning

confidence: 99%

3D laparoscopic surgery: a prospective clinical trial

et al. 2018

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Since it’s introduction, laparoscopic surgery represented a real revolution in clinical practice. The use of a new generation three-dimensional (3D) HD laparoscopic system can be considered a favorable “hybrid” made by combining two different elements: feasibility and diffusion of laparoscopy and improved quality of vision. In this study we report our clinical experience with use of three-dimensional (3D) HD vision system for laparoscopic surgery. Between 2013 and 2017 a prospective cohort study was conducted at the University Hospital of Palermo. We considered 163 patients underwent to laparoscopic three-dimensional (3D) HD surgery for various indications. This 3D-group was compared to a retrospective-prospective control group of patients who underwent the same surgical procedures. Considerating specific surgical procedures there is no significant difference in term of age and gender. The analysis of all the groups of diseases shows that the laparoscopic procedures performed with 3D technology have a shorter mean operative time than comparable 2D procedures when we consider surgery that require complex tasks. The use of 3D laparoscopic technology is an extraordinary innovation in clinical practice, but the instrumentation is still not widespread. Precisely for this reason the studies in literature are few and mainly limited to the evaluation of the surgical skills to the simulator. This study aims to evaluate the actual benefits of the 3D laparoscopic system integrating it in clinical practice. The three-dimensional view allows advanced performance in particular conditions, such as small and deep spaces and promotes performing complex surgical laparoscopic procedures.

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Section: Methodsmentioning

confidence: 99%

3D laparoscopic surgery: a prospective clinical trial

et al. 2018

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“…Type III AC is least common and least responsive to therapy, and is characterised by premature contractions (distal latency <4.5 seconds in >20% swallows) and segmental pressurisation of the distal oesophagus (Figure 1E). 22…”

Section: High Resolution Manometrymentioning

confidence: 99%

Achalasia Cardia: A Comprehensive Review

Ramchandani

Pal²

2020

EMJ Gastroenterol

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Achalasia cardia is the best characterised oesophageal motility disorder. It is characterised by progressive ganglion cell degeneration in the oesophageal myenteric plexus, which results in impaired lower oesophageal sphincter (LES) relaxation upon swallowing and aperistalsis in the distal smooth muscle segment of the oesophagus. The usual presenting features are dysphagia to both liquids and solids from onset, regurgitation of undigested food, retrosternal pain, heartburn, and weight loss. Initial investigations include upper gastrointestinal (GI) endoscopy and timed barium oesophagogram, whereas high resolution manometry is diagnostic. Therapy in achalasia cardia is directed towards biochemical or mechanical reduction in LES pressures. If candidates are fit for surgery, pneumatic dilatation, peroral endoscopic myotomy, and laparoscopic Heller’s myotomy are the mainstays of therapy that act by mechanical disruption of LES. On the other hand, botulinum toxin and pharmacotherapy (nitrates and calcium channel blockers) act by biochemical reduction of LES and are reserved for surgically unfit patients with limited life expectancy because of their short-lived efficacy. Oesophagectomy is reserved for treating refractory longstanding cases, who have previously failed multiple therapies.

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The role of endoscopic ultrasound for the evaluation and treatment of esophageal motility disorders

Krishnan

2018

Techniques in Gastrointestinal Endoscopy

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Achalasia Secondary to Submucosal Invasion by Poorly Differentiated Adenocarcinoma of the Cardia, Siewert II: Consideration on Preoperative Workup

Cited by 4 publications

References 28 publications

3D laparoscopic surgery: a prospective clinical trial

3D laparoscopic surgery: a prospective clinical trial

Achalasia Cardia: A Comprehensive Review

The role of endoscopic ultrasound for the evaluation and treatment of esophageal motility disorders

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