Laparoscopic Heller Myotomy For Achalasia

Hunt, David; Wills, Vanessa

doi:10.1046/j.1440-1622.2000.01903.x

Cited by 17 publications

(4 citation statements)

References 29 publications

(45 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our study, neither the institutional nor the individual surgeon's operative experience influenced the intraoperative complication rate, dysphagia scores, the risk of reoperation, or overall patient satisfaction. Other studies, however, have shown an improvement in the complication rate and postoperative symptoms after performing more cardiomyotomies [11][12][13]. This might be explained by the fact that laparoscopic cardiomyotomy was commenced nearly 12 months after we commenced laparoscopic fundoplication, and surgeons were already familiar with laparoscopic approaches to the distal esophagus.…”

Section: Discussionmentioning

confidence: 98%

Defining a Learning Curve for Laparoscopic Cardiomyotomy

et al. 2008

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 98%

Defining a Learning Curve for Laparoscopic Cardiomyotomy

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Zunehmend wird für die Myotomie der laparoskopische Zugangsweg gewählt und als Refluxprophylaxe eine anteriore Semifundoplicatio durchgeführt [2,4,11,12,19,23,31]. Bei deutlich längerer Operationsdauer sind Morbidität und Mortalität gleichfalls gering [2,4,11,12,19,23,26,30,31].…”

Section: Schlüsselwörterunclassified

“…Bei deutlich längerer Operationsdauer sind Morbidität und Mortalität gleichfalls gering [2,4,11,12,19,23,26,30,31]. Die Patienten erreichen die normale Aktivität früher als nach Laparotomie, und das kosmetische Ergebnis ist günstiger, was vor allem für jüngere Patienten von Bedeutung ist.…”

Section: Schlüsselwörterunclassified

Langzeitergebnisse nach Myotomie und Semifundoplicatio bei Achalasie

Junginger

Kneist

Sultanov

et al. 2002

Chirurg

View full text Add to dashboard Cite

The basic principle behind the treatment of achalasia consists of alleviating swallowing disorders by reducing resistance in the lower esophageal sphincter without inducing gastroesophageal reflux. Only a few studies are available on long-term results after operative treatment. Fifty-one patients were studied with regard to long-term results after open transabdominal extramucosal myotomy of the distal esophagus along with partial anterior fundoplication (Dor procedure). Clinical data were collected by standardized interviews, and symptoms were assigned a score ranging from 0 to 3 according to severity and frequency. The pre- and postoperative symptoms were comparable in 50 patients. The median duration of follow-up was 88 months (range: 12-160 months). Operative time was a median of 80 min. Two esophageal mucosal tears were recognized intraoperatively and promptly repaired. Postoperative morbidity occurred in two patients (3.9%). Very good or good long-term results after surgical therapy were achieved in 49 patients (96.1%). Forty-seven patients (92.2%) have no or rare dysphagia. The frequency of regurgitation as well as chest pain was also significantly reduced after surgery. Forty-nine patients (96.1%) either maintained or gained weight. Preoperative duration of symptoms, follow-up, age, and gender had no influence on the results (p > 0.05). Two patients (3.9%) mentioned occasional heartburn. Five patients (9.8%) took or still take proton pump inhibitors postoperatively. Severe stage IV symptoms due to peptic stricture and dolichomegaesophagus required reoperation in one patient (2%). The results show that myotomy and the antireflux procedure (semifundoplication) lead to long-term relief of dysphagia without inducing reflux at a low operative risk. Since long-term results are as yet not available for minimally invasive surgery, it remains to be seen if this operative technique will become the primary surgical procedure for this disease.

show abstract

“…To prevent GER, a loose fundoplication is often performed (270-degree wrap or Toupet procedure). Surgical myotomy results in excellent symptom relief, with mortality rates similar to those with balloon dilation [27,28]. Using the laparoscopic method for the myotomy shortens the hospital stay considerably (when compared with the open surgical method), and patients are often back to work within 2 to 4 weeks.…”

Section: Therapymentioning

confidence: 99%

Practical approaches to dysphagia caused by Esophageal motor disorders

Arora

Conklin

2001

Curr Gastroenterol Rep

View full text Add to dashboard Cite

Dysphagia is a common symptom with which patients present. This review focuses primarily on the esophageal motor disorders that result in dysphagia. Following a brief description of the normal swallowing mechanisms and the messengers involved, more specific motor abnormalities are discussed. The importance of achalasia, as the only pathophysiologically defined esophageal motor disorder, is discussed in some detail, including recent developments in pathogenesis and treatment options. Other esophageal spastic disorders are described, with relevant manometric tracings included. In recent years, the importance of gastroesophageal reflux as a primary cause of esophageal dysmotility has been recognized, and this is also discussed. In addition, the motility disturbances that develop after surgical fundoplication are reviewed.

show abstract

Laparoscopic Heller Myotomy For Achalasia

Abstract: Laparoscopic Heller myotomy is a technically challenging procedure that provides good early palliation of the symptoms associated with achalasia.

Cited by 17 publications

References 29 publications

Defining a Learning Curve for Laparoscopic Cardiomyotomy

Defining a Learning Curve for Laparoscopic Cardiomyotomy

Langzeitergebnisse nach Myotomie und Semifundoplicatio bei Achalasie

Practical approaches to dysphagia caused by Esophageal motor disorders

Contact Info

Product

Resources

About