Heller Myotomy for Failed Pneumatic Dilation in Achalasia

Gockel, Ines; Junginger, Th.; Bernhard, G.; Eckardt, V.

doi:10.1097/01.sla.0000114228.34809.01

Cited by 89 publications

(55 citation statements)

References 29 publications

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“…64,70,72,73 Surgical therapy after failed pneumatic dilatation has also been shown to be safe and effective although more difficult. 28,75 New technology involving computer-enhanced robotic surgery may further minimize the surgical morbidity. 76 Overall, minimally invasive surgical therapy is safe and effective for the treatment of achalasia.…”

Section: 68mentioning

confidence: 99%

Review article: the management of achalasia – a comparison of different treatment modalities¹

Lake¹,

Wong²

2006

Aliment Pharmacol Ther

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SUMMARY BackgroundAchalasia is an uncommon primary oesophageal motor disorder with an unknown aetiology. Therapeutic options for achalasia are aimed at decreasing the lower oesophageal sphincter pressure, improving the oesophageal empting, and most importantly, relieving the symptoms of achalasia. Modalities for treatment include pharmacologic, endoscopic, pneumatic dilatation and surgical. The decision of which modality to use involves the consideration of multiple clinical and economic factors.

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Section: 68mentioning

confidence: 99%

Review article: the management of achalasia – a comparison of different treatment modalities¹

Lake¹,

Wong²

2006

Aliment Pharmacol Ther

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“…There were five studies [24][25][26][27][28] and three studies [29][30][31] that assessed the efficacy of HM for failed PD as the firstline treatment. The remission rate was 77.8%-93%.…”

Section: Study Characteristicsmentioning

confidence: 99%

Recurrent achalasia treated with Heller myotomy: A review of the literature

Wang¹,

Li²

2008

WJG

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AIM:To evaluate the efficacy and safety of Heller myotomy (HM) for recurrent achalasia, performed after different methods of first-line treatment. METHODS:We searched for studies published in PubMed from 1966 to March 2008 on treatment of recurrent achalasia with HM after failure with different methods of first-line treatment. The efficacy of HM was assessed by a pooled estimate of response rate with individual studies weighted proportionally to sample size. RESULTS: Sixteen studies were eligible and included in the review. The results showed that HM has a better remission rate for recurrent achalasia after failure of HM [weighted mean (SD)] of 86.9% (21.8%) compared with 81.6% (23.8%) for pneumatic dilatation (PD). One study evaluated the efficacy of HM after failure of PD combined with botulinum toxin injection (83%). The most common complications were perforation and gastroesophageal reflux. CONCLUSION: HM has the best efficacy in patients with recurrent achalasia who were treated with HM as first-line treatment. Future studies should focus on how to increase the success rate and decrease the complications of HM.

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“…Frantzides ve arkadaşları (68) laparoskopik özo-fagomiyotomi ile Nissen fundoplikasyonu uyguladıkları hastalarda postoperatif disfaji oranını %4 gibi oldukça düşük oranda bulmuştur. Gockel ve arkadaşları (69) önceki geçirilmiş pnömotik dilatasyonda yetersizlik sonrası Heller miyotomide oldukça başarılı sonuçlar bildirmiştir.…”

Section: Pri̇mer Moti̇li̇te Bozukluklari Akalazyaunclassified

Esophageal Motility Disorders

Karaoğlanoğlu¹,

Aydın²

2011

Toraks Cer Bult

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Heller Myotomy for Failed Pneumatic Dilation in Achalasia

Abstract: Myotomy is an effective treatment modality in patients with achalasia who have failed to respond to pneumatic dilation. Young patients may benefit from primary surgical therapy.

Cited by 89 publications

References 29 publications

Review article: the management of achalasia – a comparison of different treatment modalities¹

Review article: the management of achalasia – a comparison of different treatment modalities¹

Recurrent achalasia treated with Heller myotomy: A review of the literature

Esophageal Motility Disorders

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Heller Myotomy for Failed Pneumatic Dilation in Achalasia

Abstract: Myotomy is an effective treatment modality in patients with achalasia who have failed to respond to pneumatic dilation. Young patients may benefit from primary surgical therapy.

Cited by 89 publications

References 29 publications

Review article: the management of achalasia – a comparison of different treatment modalities1

Review article: the management of achalasia – a comparison of different treatment modalities1

Recurrent achalasia treated with Heller myotomy: A review of the literature

Esophageal Motility Disorders

Contact Info

Product

Resources

About

Review article: the management of achalasia – a comparison of different treatment modalities¹

Review article: the management of achalasia – a comparison of different treatment modalities¹