Laparoscopic Heller myotomy and fundoplication: findings and predictive value of early postoperative radiographic studies

Yoo, C C; Levine, Marc S.; Redfern, Regina O.; Laufer, Igor; Buyske, Jo

doi:10.1007/s00261-004-0182-7

Cited by 15 publications

(10 citation statements)

References 14 publications

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“…Yoo et al showed that the caliber of the esophagus on early postoperative swallow was a useful parameter for predicting short-term clinical outcome after laparoscopic Heller myotomy and fundoplication. Postoperative esophageal symptoms were significantly more common in patients with a dilated esophagus as compared to a normal-caliber esophagus (60% vs. 15%) [17]. We found no relation between the presence of a megaesophagus and patient outcome.…”

Section: Discussioncontrasting

confidence: 38%

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Technique and follow-up of minimally invasive Heller myotomy for achalasia

et al. 2006

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Section: Discussioncontrasting

confidence: 38%

“…Many studies have looked at esophageal width as a prognostic factor [9,12,17], but none has used GEJ width for that purpose. Pechlivanides et al related the functional outcome of myotomy to the esophageal width (as measured 8 cm proximal to LES) on preoperative esophagogram and the extent of reduction in esophageal width after surgery.…”

Section: Discussionmentioning

confidence: 99%

Technique and follow-up of minimally invasive Heller myotomy for achalasia

et al. 2006

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“…There was a trend toward a higher incidence of intraoperative esophageal perforation and recurrent dysphagia in patients with prior PD treatment. Moreover, some studies [44][45][46][47] have demonstrated that reoperative laparoscopic HM can be undertaken safely (in experienced hands), and can result in good outcomes, with a similar level of success as that seen after primary myotomy.…”

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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“…Esophageal myotomy has evolved from a transthoracic procedure to a minimally invasive transabdominal technique. Currently, laparoscopic anterior esophageal myotomy is the procedure of choice for patients with achalasia who represent an appropriate risk [6][7][8][9][10][11]. A partial fundoplication typically is performed simultaneously to reduce the incidence of symptomatic gastroesophageal reflux.…”

mentioning

confidence: 99%

“…However, the utility of this standard practice has not been evaluated extensively, and its clinical predictive value in a large cohort of patients is unknown [10].…”

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confidence: 99%