Laparoscopic Heller Myotomy for Achalasia Cardia—Initial Experience in a Teaching Institute

Kaman, Lileswar; Iqbal, Javid; Kochhar, Rakesh; Sinha, Saroj Kant

doi:10.1007/s12262-012-0708-0

Cited by 4 publications

(1 citation statement)

References 11 publications

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“…Due to its outstanding short-term success rates, laparoscopic myotomy plus antireflux treatments have been suggested as the most effective first therapy for achalasia (8). In phases 0 and I, the disease has remitted.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of the Functional Outcome of Laparoscopic Heller Cardiomyotomy in Treatment of Patients with Achalasia of the Cardia

Nawar

tawfik

Abdelhafez

et al. 2023

Benha Medical Journal

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Background: Achalasia is an esophageal motor disorder characterized by increased lower esophageal sphincter (LES) pressure and diminished or absent peristalsis in the distal esophagus. This trial assessed the functional Outcome of laparoscopic Heller cardiomyotomy in treatment of patients with achalasia of the cardia using the Eckardt score. Methods: This prospective randomized trial included 30 patients with Achalasia of the cardia. These patients were managed at Banha and Mansoura University Hospitals by doing laparoscopic Heller cardiomyotomy. Follow-up was planned for 6 months for Eckardt score. Results: There was a statistically significant decrease in Eckardt score in all patients who done laparoscopic Heller cardiomyotomy (P<0.001) and 7% of patients (2 patients) had esophageal perforation and management done intraoperative with good improvement in the follow up. Conclusions: According to presented evidence, laparoscopic myotomy with anti-reflux procedures is the optimal first-line treatment for achalasia with a satisfactory improvement in quality of life.

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Section: Resultsmentioning

confidence: 99%

Evaluation of the Functional Outcome of Laparoscopic Heller Cardiomyotomy in Treatment of Patients with Achalasia of the Cardia

Nawar

tawfik

Abdelhafez

et al. 2023

Benha Medical Journal

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Laparoscopic Heller’s Myotomy for Achalasia Cardia by Blunt Dissection: a Safe Technique

et al. 2017

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Clinical Effect of Endoscopic Pneumatic Dilation for Achalasia

et al. 2015

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Although pneumatic dilation is an accepted method for the treatment of achalasia, this therapy has high recurrence and complication rates, and prolonged follow-up studies on the parameters associated with various outcomes are rare. In this prospective 10-year follow-up study, a satisfactory therapeutic effect was achieved without serious complications. We report the therapeutic experience with pneumatic dilation, having aimed to evaluate the long-term clinical safety and efficacy of pneumatic dilation.In total, 35 consecutive patients with idiopathic achalasia who underwent pneumatic dilation were followed up at regular intervals in person or by a phone interview over a 10-year period. The mean duration of the follow-up was 43.03 ± 26.34 months (range 6–120 months). Remission was assessed by the dysphagia classification and symptom scores. Patients’ clinical symptom scores were calculated before and at 6 to 36 months, 37 to 60 months, and >60 months after therapy. The influence of the patients’ age, gender, and disease duration on the therapeutic effect was analyzed.The success rate of the operation was 97.2% (35/36), without massive hemorrhaging, perforation or other serious complications. Dysphagia after the therapy was significantly eased (P < 0.01). In total, 35 patients have been followed up for 6 to 36 months after therapy, 21 cases for 37 to 60 months, and 5 cases for >60 months, and the patients’ symptom scores separately decreased significantly compared with the pretherapy scores (P < 0.01). For these patients, the 6 to 36 months remission rate was 85.7% (30/35), the 37 to 60 months rate was 61.9% (13/21), and the >60 months rate was 40% (2/5). The dilation effect had no relationship to the patient's age, gender, and disease duration (P > 0.05). The patients in 30 cases (85.7%) were successfully treated with a single dilation, in 4 cases (11.4%) with 2 dilations, and in 1 case (2.9%) with 3 dilations.These results suggest that endoscopic pneumatic dilation is an achalasia therapy with a good response; it is a simple and safe procedure with long-term clinical effectiveness. It is a preferred method in the treatment of achalasia.

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Laparoscopic Heller Myotomy for Achalasia Cardia—Initial Experience in a Teaching Institute

Cited by 4 publications

References 11 publications

Evaluation of the Functional Outcome of Laparoscopic Heller Cardiomyotomy in Treatment of Patients with Achalasia of the Cardia

Evaluation of the Functional Outcome of Laparoscopic Heller Cardiomyotomy in Treatment of Patients with Achalasia of the Cardia

Laparoscopic Heller’s Myotomy for Achalasia Cardia by Blunt Dissection: a Safe Technique

Clinical Effect of Endoscopic Pneumatic Dilation for Achalasia

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