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Heller laparoscopic cardiomyotomy with antireflux anterior fundoplication (Dor) in the treatment of esophageal achalasia

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Summary

The technique of Heller laparoscopic myotomy with associated Dor anterior fundoplication for the treatment of esophageal achalasia is described. This operation was performed on three patients with clinical, radiologic, and manometric diagnoses of achalasia. Complete relief of dysphagia and modifications of radiological and manometric patterns were achieved in all patients 1 month after surgery. Laparoscopic treatment of achalasia is technically feasible, reduces surgical trauma, and may be considered a valid alternative to open surgery.

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References

  1. Anselmino A, Hinder RA, Filipi CJ, Wilson P (in press) Laparoscopic Heller cardiomiotomy and thoracoscopic esophageal long myotomy for the treatment of primary esophageal motor disorders. Surg Laparosc Endosc (in press)

  2. Berman IR (1992) Frontiers in general surgery: pioneers, cowboys and desperados. Surg Endosc 6: 82–83

    Google Scholar 

  3. Bonavina L, Nosadini A, Bardini R, Baessato M, Peracchia A (1992) Primary treatment of esophageal achalasia. Long-term results of myotomy and Dor fundoplication. Arch Surg 127: 222–227

    Google Scholar 

  4. Csendes A (1991) Result of surgical treatment for achalasia of the esophagus. Hepato-Gastroenterology 38: 474–480

    Google Scholar 

  5. Csendes A, Braghetto I, Henriquez A, Cortes C (1989) Late results of a prospective randomised study comparing forceful dilatation and oesophagomyotomy in patients with achalasia. Gut 30: 299–304

    Google Scholar 

  6. Dor J, Humbert P, Dor V, et al. (1962) L'interet de la technique de Nissen modifie dans la prevention du reflux apres cardiomyotomie extramuquese de Heller. Mem Acad Chir 88: 877–883

    Google Scholar 

  7. Ellis FH, Crozier RE, Watkins E (1984) Operation for esophageal achalasia. Results of esophagomyotomy without an antireflux procedure. J Thorac Cardiovasc Surg 88: 344–351

    Google Scholar 

  8. Ohike N, Payne WS, Neufeld DM, Bernatz PE, Pairolero PC, Sanderson DR (1979) Esophagomyotomy versus forceful dilatation for achalasia of the esophagus: results in 899 patients. Ann Thorac Surg 28: 119–125

    Google Scholar 

  9. Shimi S, Nathanson LK, Cuschieri A (1991) Laparoscopic cardiomyotomy for achalasia. J R Coll Edinb 36: 152–154

    Google Scholar 

  10. Shimi SM, Nathanson LK, Cuschieri A (1992) Thoracoscopic myotomy for nutcracker esophagus Br J Surg 79: 533–536

    Google Scholar 

  11. Vantrappen G, Hellemans J (1980) Treatment of achalasia and related motor disorders. Gastroenterology 79: 144–154

    Google Scholar 

  12. Vantrappen G, Janssen J (1983) To dilate or to operate? That is the question. Gut 24: 1013–1019

    Google Scholar 

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Ancona, E., Peracchia, A., Zaninotto, G. et al. Heller laparoscopic cardiomyotomy with antireflux anterior fundoplication (Dor) in the treatment of esophageal achalasia. Surg Endosc 7, 459–461 (1993). https://doi.org/10.1007/BF00311744

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