The therapeutic results after laparoscopic hellers’ myotomy and partial fundoplication for achalasia

Gülpınar, Kamil; Celasin, Haydar; Sozener, Ulas; Türkçapar, Ahmet Gökhan

doi:10.5152/tjg.2014.4944

Cited by 1 publication

(2 citation statements)

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“…The oesophageal perforation rate was extremely low in this study (1%) as compared to rates reported in the literature (1.5%-17.5%). 3,6,7 This reaffirms the safety of LHM for achalasia in combination with on-table endoscopy. The need for repeated interventions post-LHM was uncommon in our study, with an overall rate of 5.5% (pneumatic dilatation 4.4% and revision of myotomy 1%).…”

Section: Discussionsupporting

confidence: 57%

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Long-term outcomes of surgery for oesophageal achalasia

Murphy

Edmunds

et al. 2022

Int J Gastrointest Interv

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Background: Long-term patient-reported outcomes following surgery for achalasia are lacking in the literature. The aim of this study was to evaluate both short-and long-term outcomes of the surgical management of achalasia. Methods: A retrospective analysis was performed of all surgically managed achalasia cases from January 2004 to December 2017. Data collection included demographics, previous interventions, type of surgery performed, and postoperative outcomes. Long-term data collected by questionnaire included residual regurgitation, dysphagia, chest pain, heartburn, need for subsequent intervention, and overall satisfaction. Patients were divided into primary group (group P) and secondary group (group S) based on whether they had undergone a previous intervention. Results: Ninety-one patients (male : female = 43 : 49; group P : S = 66 : 25) underwent surgery for achalasia. The median follow-up was 107 months (32-172 months). Twenty-five patients (27.5%) had previous interventions. Eighty-nine (97.8%) underwent Heller cardiomyotomy; the procedure was laparoscopic in 86 cases (97%) and open in three patients (3.3%). Two patients underwent stapled cardiomyotomy. The postoperative complication rate was 4.4%, and no complications were serious. There was no significant difference in length of stay between the groups. Short-term followup showed that most residual symptoms were mild. During long-term follow-up, the residual symptoms were mainly mild and did not differ between the groups. Furthermore, 72.9% of patients were satisfied or very satisfied with their symptoms post-surgery. Conclusion: The peri-operative morbidity for the surgical management of achalasia is low and re-intervention is uncommon. Heartburn was not a major long-term sequela of myotomy. Though patients still experienced mild symptoms in the longer term, most were satisfied with their outcome.

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Section: Discussionsupporting

confidence: 57%

“…Most studies have reported good functional results after LHM, but few have investigated long-term patient-reported outcomes. 3,5 Gülpınar et al 6 and Kummerow Broman et al 5 demonstrated that POEM has been increasingly performed, but long-term results continue to be awaited.…”

Section: Introductionmentioning

confidence: 99%

Long-term outcomes of surgery for oesophageal achalasia

Murphy

Edmunds

et al. 2022

Int J Gastrointest Interv

View full text Add to dashboard Cite

show abstract

The therapeutic results after laparoscopic hellers’ myotomy and partial fundoplication for achalasia

Cited by 1 publication

References 24 publications

Long-term outcomes of surgery for oesophageal achalasia

Long-term outcomes of surgery for oesophageal achalasia

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