Has the Introduction of Laparoscopic Heller Myotomy Altered the Treatment Paradigm of Achalasia?
نویسندگان
چکیده
منابع مشابه
Surgical Treatment for Achalasia of the Esophagus: Laparoscopic Heller Myotomy
Achalasia is an esophageal motility disorder that leads to dysphagia, chest pain, and weight loss. Its diagnosis is clinically suspected and is confirmed with esophageal manometry. Although pneumatic dilation has a role in the treatment of patients with achalasia, laparoscopic Heller myotomy is considered by many experts as the best treatment modality for most patients with newly diagnosed acha...
متن کاملLaparoscopic Heller myotomy with fundoplication for achalasia.
BACKGROUND AND PURPOSE Laparoscopic Heller cardiomyotomy for the treatment of achalasia can be performed safely. The application of this minimally invasive approach has not been reported in Taiwan. This study assessed the results obtained using this new method in Taiwanese patients. METHODS From January 1998 to December 2000, we recruited 10 patients (3 men, 7 women; average age 37.3 yr) with...
متن کاملThe role of laparoscopic Heller myotomy in the treatment of achalasia.
AIM To evaluate the results of laparoscopic Heller myotomy in our group of patients. METHOD A retrospective clinical trial was carried out to evaluate the indication, technique and controversies of laparoscopic Heller myotomy in the achalasia treatment. The following symptoms were evaluated prior and after Heller myotomy: dysphagia, heartburn, nausea/vomiting after meal and asthma/coughing. T...
متن کاملLaparoscopic Heller myotomy versus endoscopic balloon dilatation for the treatment of achalasia: a network meta-analysis.
OBJECTIVE Comparison of short- and long-term effects after laparoscopic Heller myotomy (LHM) and endoscopic balloon dilation (EBD) considering the need for retreatment. BACKGROUND Previously published studies have indicated that LHM is the most effective treatment for Achalasia. In contrast to that a recent randomized trial found EBD equivalent to LHM 2 years after initial treatment. METHOD...
متن کاملRobot-assisted Heller myotomy for achalasia
Since its first description in 19911, laparoscopic Heller myotomy has been associated with better short-term outcomes and shorter recovery time, compared to open operation. Given this high success rate2, it was soon generally accepted as the procedure of choice for achalasia over the nonsurgical treatment options, such as medical treatment with calcium channel blockers or nitroglycerin, endosco...
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ژورنال
عنوان ژورنال: Canadian Journal of Gastroenterology
سال: 2005
ISSN: 0835-7900
DOI: 10.1155/2005/439519