Laparoscopic Esophagogastroplasty in Management of Megaesophagus with Axis Deviation

Panda, Nilanjan; Bansal, Nitin Kumar; Narsimhan, M.; Ardhanari, Ramesh

doi:10.1007/s12262-014-1193-4

Cited by 2 publications

(5 citation statements)

References 3 publications

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“…Существует патогенетически другая форма функциональной непроходимости кардии -«кардиоспазм» (КС), отличающаяся от АК по клинике, рентгенологической картине и результатам эзофагоманометрии, особенно на начальных стадиях [2,5]. Различия обусловлены разными уровнями поражения парасимпатической нервной системы.…”

Section: Introductionunclassified

“…Основные симптомы схожи для двух форм заболевания -прогрессирующая дисфагия, регургитация и загрудинные боли, связанные с неполным опорожнением пищевода и хроническим эзофагитом [5,6,7]. Дисфагия у 2/3 пациентов развивается постепенно, у 1/3 -внезапно, среди полного здоровья, что обычно связывают с эмоциональным стрессом.…”

Section: Introductionunclassified

“…Пероральная эндоскопическая миотомия снижает дисфагию у 90% пациентов, однако у 50% пациентов имеет место гастроэзофагеальный рефлюкс и у 30% наблюдаются клинические проявления эзофагита [5,7,16,17].…”

Section: Introductionunclassified

“…Хирургические вмешательства при АК представлены тремя группами: кардиопластические, резекционно-пластические и резекционные операции в разных объемах [5,10,12,13,14,15]. «Золотой стандарт» -лапароскопическая кардиомиотомия по Геллеру с созданием разных видов фундопликационных манжет для профилактики гастроэзофагеального рефлюкса -неполная задняя фундопликация типа Тупэ или передняя -типа Дор [2,7,8,11,12,13,14,15].…”

Section: Introductionunclassified

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Minimally Invasive Surgical Treatment of Esophageal Achalasia

Sushko¹,

Kul²,

Mahiliavets³

et al. 2022

Hepatogastro

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Background. The article is devoted to the description and outcomes of conservative and surgical treatment of observed cases of achalasia cardia (AC). A brief literary review of the peculiarities of pathogenesis, clinical features as well as differential diagnosis of AС is presented. Objective. To analyze the treatment outcomes and evaluate the choice of the АС surgical treatment method. Material and methods. The analysis of treatment outcomes in 31 patients with AK confirmed by clinical, radiological and endoscopic findings was carried out. Results. 3 (10%) patients were opted for drug therapy only. Endoscopic balloon dilatation of the esophagus in combination with drug therapy was performed in 15 (48%) patients, mainly with stage II AC. The extent of surgical intervention in 16 (52%) operated patients was represented by laparoscopic Heller cardiomyotomy with Dor fundoplication. Conclusions. Laparoscopic Heller cardiomyotomy with Dor fundoplication for the prevention of gastroesophageal reflux was defined as the most effective surgical treatment of stage II-III AС. Endoscopic balloon dilatation of the esophagus combined with drug therapy is an effective treatment option for stage II AС, and can be used in stages II-III if there are contraindications for surgical treatment.

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Section: Introductionunclassified

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Minimally Invasive Surgical Treatment of Esophageal Achalasia

Sushko¹,

Kul²,

Mahiliavets³

et al. 2022

Hepatogastro

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“…To the editor, We read with great interest the article by Panda et al [1] that was published in the Indian Journal of Surgery. The authors describe the technical details and outcomes of laparoscopic esophagogastroplasty for end-stage achalasia.…”

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confidence: 99%

Letter to the Editor: More on Achalasia with Megaesophagus

Shen

Che

2016

Indian J Surg

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To the editor, We read with great interest the article by Panda et al.[1] that was published in the Indian Journal of Surgery. The authors describe the technical details and outcomes of laparoscopic esophagogastroplasty for end-stage achalasia. We have provided another approach that is valuable for diagnosing in patients of achalasia with megaesophagus.A 55-year-old male was admitted to our hospital because of continuously increasing chest distress and dysphagia 20 years in duration. He was a nonsmoker and had no exposure to any environmental fumes or dust. His family history was unremarkable. A barium meal examination displayed the classic Bbird's-beak^appear-ance. The plain chest computed tomography (CT) and the chest X-ray revealed that the barium extended from the proximal esophagus to the esophagogastric junction. The high-resolution manometry of the esophagus showed impaired lower esophageal sphincter (LES) relaxation, absent peristalsis, and completed loss of contractile activity in the body of the esophagus. The patient was diagnosed as achalasia with megaesophagus.The patient underwent esophagectomy with a gastric pull-through procedure.Achalasia involves hypertension and poor relaxation of the body of the esophagus and the lower esophageal sphincter. Esophageal manometry to assess esophageal pressures and contractions has become the standard for diagnosing and classifying achalasia [2]. These methods gave an improved understanding of peristaltic contractile activity in both asymptomatic and symptomatic individuals [3].Although achalasia with megaesophagus is rare, understanding its diagnosis and treatment is important. To facilitate the preoperative diagnosis and avoid the misdiagnosis of such rare disease, more cases will need to be reported.

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Laparoscopic Esophagogastroplasty in Management of Megaesophagus with Axis Deviation

Cited by 2 publications

References 3 publications

Minimally Invasive Surgical Treatment of Esophageal Achalasia

Minimally Invasive Surgical Treatment of Esophageal Achalasia

Letter to the Editor: More on Achalasia with Megaesophagus

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