Laparoscopic Heller myotomy relieves dysphagia in achalasia when the esophagus is dilated

Patti, Marco G.; Feo, Carlo V.; Diener, Urs; Tamburini, A.; Arcerito, Massimo; Safadi, Bassem Y.; Way, Lawrence W.

doi:10.1007/s004649901117

Cited by 97 publications

(66 citation statements)

References 15 publications

(24 reference statements)

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“…Operation duration was 50-210 min. Median hospital stay was 2.6-8 d. One study [32] has reported the efficacy of HM for achalasia patients who failed combined treatment with PD and BoTx. The remission rate was 83%, operation duration was 156 min, and the hospital stay was 3.5 d. There were five [33][34][35][36][37] studies and two [38,39] studies that assessed the efficacy of HM for failed HM as the first-line treatment.…”

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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Section: Study Characteristicsmentioning

confidence: 99%

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

Wang¹,

Li²

2008

WJG

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“…Algunos cirujanos recomiendan la esofagectomía como tratamiento inicial 38,39 , mientras otros prefieren la miotomía, reservando la primera para aquellos pacientes con persistencia de los síntomas 38,39 . De esta forma, la miotomía laparoscópica puede representar una alternativa en el tratamiento de este grupo de pacientes 18,[38][39][40] . El paciente de esta serie que mantuvo un puntaje superior a 3 (puntaje posoperatorio de 6), es portador de un megaesófa-go.…”

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Resultados inmediatos y tardíos de la miotomía de Heller laparoscópica en pacientes con acalasia esofágica

et al. 2007

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“…Symptom improvement was reported in 89.3% and evidence of GEr in 14.9% of patients (9). Also in patients with significant esophageal dilation or megaesophagus, laparoscopic Heller myotomy and Dor fundoplication gives just as good relief of dysphagia (25). It is concluded that esophageal dilation by itself should rarely serve as an indication for esophagectomy rather than myotomy as the initial surgical treatment.…”

Section: Laparoscopic Myotomymentioning

confidence: 97%

Impact of Minimally Invasive Surgery in the Spectrum of Current Achalasia Treatment Options

Gockel¹,

Sgourakis²,

Drescher³

et al. 2011

Scand J Surg

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minimally invasive heller myotomy has evolved the "gold standard" procedure for achalasia in the spectrum of current treatment options. the laparoscopic technique has proved superior to the thoracoscopic approach due to improved visualization of the esophagogastric junction. operative controversies most recently include the length of the myotomy, especially of its fundic part, with respect to the balance between postoperative persistent dysphagia and development of gastroesophageal reflux, as well as the type of the added antireflux procedure. perioperative mortality should approach 0%, and favorable long-term results can be achieved in > 90%.

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Laparoscopic Heller myotomy relieves dysphagia in achalasia when the esophagus is dilated

Cited by 97 publications

References 15 publications

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

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

Resultados inmediatos y tardíos de la miotomía de Heller laparoscópica en pacientes con acalasia esofágica

Impact of Minimally Invasive Surgery in the Spectrum of Current Achalasia Treatment Options

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