Laparoscopic Transhiatal Subtotal Esophagectomy for the Treatment of Advanced Megaesophagus

Crema, Eduardo; Ribeiro, Luís; Terra, Juverson Alves; Silva, Alex A.

doi:10.1016/j.athoracsur.2004.10.059

Cited by 28 publications

(23 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our series of laparoscopic myotomy for achalasia in 226 patients, seven patients (3.1%) needed reoperation [22]. Laparoscopic transhiatal esophagectomy with reconstruction has been described in the literature [23]. We have extensive experience in minimally invasive surgery for esophageal cancer, and this has certainly helped in laparoscopic esophagectomy for benign conditions as well [24,25].…”

Section: Discussionmentioning

confidence: 96%

Laparoscopic Transhiatal Esophagectomy for ‘Sigmoid’ Megaesophagus Following Failed Cardiomyotomy: Experience of 11 Patients

et al. 2007

View full text Add to dashboard Cite

About 10% of postmyotomy patients will have recurrence, and 5% of them need reoperation. Laparoscopic esophagectomy for sigmoid esophagus is a formidable operation due to adhesions/fibrosis at the hiatal area. Dissection of the S-shaped esophagus in the thorax is quite tedious and an accurate knowledge of the shape and location of the megaesophagus preoperatively is vital. If performed in specialized centers, laparoscopic excision is safe and effective, utilizing all the benefits of minimal access.

show abstract

Section: Discussionmentioning

confidence: 96%

Laparoscopic Transhiatal Esophagectomy for ‘Sigmoid’ Megaesophagus Following Failed Cardiomyotomy: Experience of 11 Patients

et al. 2007

View full text Add to dashboard Cite

show abstract

“…The first choice of therapy for this giant, pedunculated, intraluminal masses is surgical excision 28 . Surgical management is necessary because malignancy can not be excluded preoperatively and this is the only way to got definitive diagnosis and to allow oral feeding.…”

Section: Discussionmentioning

confidence: 99%

Giant esophageal fibrovascular polyp with clinical behaviour of inflammatory pseudotumor: A case report and the literature review

et al. 2014

View full text Add to dashboard Cite

show abstract

“…It is estimated that 5% to 8% of the patients with Chagas disease will have megaesophagus 8 . Crema et al 9 carried out 60 esophagectomy surgeries and all patients had advanced megaesophagus, 88.33% secondary to Chagas disease and 11.67% idiopathic cases. Among our patients with megaesophagus, 84% had positive serology for Chagas disease.…”

Section: ■ Discussionmentioning

confidence: 99%

Combination of preoperative pulmonary and nutritional preparation for esophagectomy

et al. 2018

Self Cite

View full text Add to dashboard Cite

Purpose: To compare pulmonary and nutritional parameters before and after inspiratory muscle training (IMT) and enteral feeding support in patients with esophageal disease undergoing preoperative outpatient follow-up. Methods: Thirty patients with a mean age of 55.83 years, 16 men and 14 women, were included. Pulmonary assessment consisted of the measurement of MIP, MEP, and spirometry. Anthropometric measurements and laboratory tests were performed for nutritional assessment. After preoperative evaluation, inspiratory muscle training and enteral nutrition support were started. A p<0.05 was considered statistically significant. Results: After an outpatient follow-up period of 4 weeks, a significant increase in MIP (-62.20 ± 25.78 to -81.53 ± 23.09), MEP (73.4 ± 31.95 to 90.33 ± 28.39), and FVC (94.86 ± 16.77 to 98.56 ± 17.44) was observed. Regarding the anthropometric variables, a significant increase was also observed in BMI (20.18 ± 5.04 to 20.40 ± 4.69), arm circumference (23.38 ± 3.28 to 25.08 ± 4.55), arm muscle circumference (21.48 ± 3.00 to 22.07 ± 3.36), and triceps skinfold thickness (5.62 ± 2.68 to 8.33 ± 6.59). Conclusion: Pulmonary and nutritional preparation can improve respiratory muscle strength, FVC and anthropometric parameters. However, further studies are needed to confirm the effectiveness of this preoperative preparation.

show abstract

Laparoscopic Transhiatal Subtotal Esophagectomy for the Treatment of Advanced Megaesophagus

Cited by 28 publications

References 21 publications

Laparoscopic Transhiatal Esophagectomy for ‘Sigmoid’ Megaesophagus Following Failed Cardiomyotomy: Experience of 11 Patients

Laparoscopic Transhiatal Esophagectomy for ‘Sigmoid’ Megaesophagus Following Failed Cardiomyotomy: Experience of 11 Patients

Giant esophageal fibrovascular polyp with clinical behaviour of inflammatory pseudotumor: A case report and the literature review

Combination of preoperative pulmonary and nutritional preparation for esophagectomy

Contact Info

Product

Resources

About