Extended Esophageal Myotomy and Short Total Fundoplication Hernia Repair in Diffuse Esophageal Spasm: Five-Year Review in 34 Patients

Henderson, Robert D.; Ryder, D; Marryatt, G

doi:10.1016/s0003-4975(10)60161-0

Cited by 56 publications

(16 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Henderson et al 13 also published in 1987 one of the series with the longest mean follow-up of 90 months (7.5 years) (range 5-10.7 years). Thirty-four patients, evaluated by radiology (82.4%) and manometry (62%) using the classification proposed by Vantrappen et al 35 , underwent surgery.…”

Section: Early Surgical Developmentsmentioning

confidence: 98%

A Comprehensive Appraisal of the Surgical Treatment of Diffuse Esophageal Spasm

Almansa

Hinder

Smith

et al. 2008

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

Diffuse esophageal spasm is a motility disorder of undetermined cause. The optimal treatment remains controversial, and evidence-based data are lacking. Several medical treatment modalities have been proposed, but none has emerged as the treatment of choice. Patients who do not respond to medical therapy may be considered for surgical treatment. The surgical treatment of diffuse esophageal spasm is based on similar principles to the treatment of achalasia. A long esophageal myotomy is done to divide the hypertrophied circular muscle that is frequently noted in diffuse esophageal spasm. To protect against postoperative reflux, an antireflux procedure may be added. However, the surgical treatment of diffuse esophageal spasm has not been subjected to randomized clinical trials. The purpose of this article is to provide a review of the available literature regarding the surgical management of the diffuse esophageal spasm. In particular, we offer an appraisal of surgical outcomes, the effects of surgery on manometric and radiologic parameters (when available), complications, and mortality.

show abstract

Section: Early Surgical Developmentsmentioning

confidence: 98%

A Comprehensive Appraisal of the Surgical Treatment of Diffuse Esophageal Spasm

Almansa

Hinder

Smith

et al. 2008

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

show abstract

“…Hiatus özofagusun yanında bir parmak geçecek şekil-de daraltılmalıdır. Gastrointestinal peristaltizm tekrar başladıktan sonra postoperatif üçüncü gün nazogastrik tüp çıkartılır ve oral beslenmeye geçilir (34 (34,63,64). Kliniğimizde tedavi ettiğimiz bir olgunun gürüntüleri Resim 5-8'de sunulmuştur.…”

Section: Pri̇mer Moti̇li̇te Bozukluklari Akalazyaunclassified

Esophageal Motility Disorders

Karaoğlanoğlu¹,

Aydın²

2011

Toraks Cer Bult

View full text Add to dashboard Cite

“…11 Due to the functional obstructive nature of the disease, myotomy and fundoplication are the surgical options in patients with DES with good results between 70 and 95% in most reports. 11,17,[22][23][24][25] Interestingly, one case of normalization of the motor function of the esophagus after myotomy have been described. 26 The largest reported series of myotomy for DES comprised 65 patients treated with long myotomy and different types of fundoplication through thoracotomy.…”

Section: Nutcracker Esophagusmentioning

confidence: 99%

“…22,24 Surgical Technique Myotomy Esophagocardiomyotomy (Heller's operation) has been indicated in patients with spastic disorders of the esophagus refractory to medical therapy. It was described for the first time for the treatment of non-achalasia PEMD by LortatJacob in 1950.…”

Section: Nutcracker Esophagusmentioning

confidence: 99%

Surgical Treatment of Primary Esophageal Motility Disorders

Herbella

Tineli

Wilson

et al. 2008

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

Named primary esophageal motility disorders (PEMD) present with specific manometric patterns classified as: (1) hypertensive lower esophageal sphincter, (2) nutcracker esophagus (also hypercontratile, hypertensive, or hypercontracting esophagus), (3) diffuse esophageal spasm, and (4) achalasia. These conditions, with the exception of achalasia, are rare, poorly understood, and inadequately studied. Treatment of these conditions is based on symptoms and aimed at symptomatic improvement. The authors reviewed current literature on surgical treatment of non-achalasia PEMD. The review shows that: (a) surgical therapy may be an attractive alternative in patients with PEMD; (b) proper selection of patients based on symptoms evaluation and esophageal function tests is essential; (c) laparoscopic myotomy with proximal extent tailored to manometric findings seems to be the ideal surgical therapy; and (d) esophagectomy may be necessary as a last resource due to multiple failures of surgical conservative treatment.

show abstract

Extended Esophageal Myotomy and Short Total Fundoplication Hernia Repair in Diffuse Esophageal Spasm: Five-Year Review in 34 Patients

Cited by 56 publications

References 7 publications

A Comprehensive Appraisal of the Surgical Treatment of Diffuse Esophageal Spasm

A Comprehensive Appraisal of the Surgical Treatment of Diffuse Esophageal Spasm

Esophageal Motility Disorders

Surgical Treatment of Primary Esophageal Motility Disorders

Contact Info

Product

Resources

About