Erschienen in:
01.07.2011
Evolution of the Minimally Invasive Treatment of Esophageal Achalasia
verfasst von:
Brian Bello, Fernando A. Herbella, Marco G. Patti
Erschienen in:
World Journal of Surgery
|
Ausgabe 7/2011
Einloggen, um Zugang zu erhalten
Abstract
Thanks to the advent of laparoscopic techniques, the last decade and a half have witnessed a radical change in the treatment of esophageal achalasia. Because of the high success rate of the laparoscopic Heller myotomy, surgery has now become in many centers the first modality of treatment for achalasia. This shift in the treatment algorithm reflects the fact that laparoscopic Heller myotomy with partial fundoplication outperforms nonsurgical approaches, such as balloon dilatation and intrasphincteric botulinum toxin injection.