Laparoscopic Heller Myotomy and Fundoplication in Patients with End-Stage Achalasia
Achalasia may present in a non-advanced or advanced (end stage) stage. The latter is characterized by massive esophageal dilatation and/or the loss of the esophageal straight axis (sigmoid-shaped esophagus). The treatment for non-advanced cases of achalasia is well defined while the therapy for end-...
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| Published in: | World journal of surgery Vol. 39; no. 7; pp. 1631 - 1633 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
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Springer International Publishing
01-07-2015
Springer Nature B.V |
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| Abstract | Achalasia may present in a non-advanced or advanced (end stage) stage. The latter is characterized by massive esophageal dilatation and/or the loss of the esophageal straight axis (sigmoid-shaped esophagus). The treatment for non-advanced cases of achalasia is well defined while the therapy for end-stage disease is still debatable. Laparoscopic Heller’s myotomy is an option in patients with end-stage achalasia. Dysphagia is relieved in a significant number of patients, it is a simpler operation to be used in frail patients, and it does not preclude a latter esophagectomy if necessary. |
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| AbstractList | Achalasia may present in a non-advanced or advanced (end stage) stage. The latter is characterized by massive esophageal dilatation and/or the loss of the esophageal straight axis (sigmoid-shaped esophagus). The treatment for non-advanced cases of achalasia is well defined while the therapy for end-stage disease is still debatable. Laparoscopic Heller's myotomy is an option in patients with end-stage achalasia. Dysphagia is relieved in a significant number of patients, it is a simpler operation to be used in frail patients, and it does not preclude a latter esophagectomy if necessary. |
| Author | Patti, Marco G. Herbella, Fernando A. M. |
| Author_xml | – sequence: 1 givenname: Fernando A. M. surname: Herbella fullname: Herbella, Fernando A. M. email: herbella.dcir@epm.br organization: Department of Surgery, Escola Paulista de Medicina, Federal University of São Paulo – sequence: 2 givenname: Marco G. surname: Patti fullname: Patti, Marco G. organization: Department of Surgery, University of Chicago |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25566981$$D View this record in MEDLINE/PubMed |
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| Keywords | Heller Myotomy Achalasia Pneumatic Dilatation Laparoscopic Heller Myotomy Botulinum Toxin Injection |
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| Snippet | Achalasia may present in a non-advanced or advanced (end stage) stage. The latter is characterized by massive esophageal dilatation and/or the loss of the... Achalasia may present in a non‐advanced or advanced (end stage) stage. The latter is characterized by massive esophageal dilatation and/or the loss of the... |
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| SubjectTerms | Abdominal Surgery Achalasia Botulinum Toxin Injection Cardiac Surgery Esophageal Achalasia - diagnostic imaging Esophageal Achalasia - surgery Esophageal Sphincter, Lower - surgery Esophagectomy Fundoplication General Surgery Heller Myotomy Humans Laparoscopic Heller Myotomy Laparoscopy Medicine Medicine & Public Health Pneumatic Dilatation Radiography Severity of Illness Index Surgery Surgical Symposium Contribution Thoracic Surgery Vascular Surgery |
| Title | Laparoscopic Heller Myotomy and Fundoplication in Patients with End-Stage Achalasia |
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