Robotic Heller myotomy and Dor fundoplication: Twelve steps

Kaaki, Suha; Hartwig, Matthew G.

doi:10.1016/j.xjtc.2022.07.028

Cited by 1 publication

(1 citation statement)

References 12 publications

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“…One study showed greater improvement in quality-of-life indices following RHM compared with LHM 25. In summary, RHM appears to be safer than LHM with similar efficacy and outcomes at the price of potentially longer operating times and higher cost, leading to an ongoing question regarding the cost-effectiveness of RHM 27…”

Section: Discussionmentioning

confidence: 99%

Achalasia-associated megaoesophagus presenting with dyspnoea and cough

Abu Suleiman,

James,

Wilkins

et al. 2024

BMJ Case Rep

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We present an unusual case of achalasia presenting with dyspnoea and persistent cough. These symptoms persisted for months, leading to the patient undergoing a chest X-ray by her general practitioner which showed right basal consolidation and a density extending along the right mediastinum. CT scan was done which revealed megaoesophagus with a diameter of 7 cm causing tracheal compression, as well as right basal consolidation, consistent with aspiration. Further history revealed 6-month history of progressive swallowing difficulty, retrosternal chest pain and shortness of breath which worsened when eating solid foods. After thorough workup, a diagnosis of idiopathic achalasia (type II) was made. She was treated with laparoscopic Heller cardiomyotomy and Dor fundoplication with significant improvement at follow-up. Dyspnoea and respiratory symptoms are unusual presenting symptoms, suggesting a need to consider achalasia in a wider range of presentations. Successful treatment of achalasia depends on timely diagnosis and intervention prior to oesophageal failure.

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Section: Discussionmentioning

confidence: 99%