Laparoscopic Heller myotomy and anterior Dor fundoplication for achalasia cardia in Malaysia: Clinical outcomes and satisfaction from four tertiary centers

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Laparoscopic 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...

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Laparoscopic heller myotomy and anterior fundoplication for achalasia results in a high degree of patient satisfaction.

HYPOTHESIS Laparoscopic Heller myotomy with anterior fundoplication will alleviate the symptoms of achalasia and result in excellent patient satisfaction. DESIGN Retrospective study of consecutive patients who underwent laparoscopic Heller myotomy with anterior fundoplication for achalasia between October 1995 and July 1999. A telephone survey assessed symptoms and satisfaction. Patients were...

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Learning curve for laparoscopic Heller myotomy and Dor fundoplication for achalasia

PURPOSE Although laparoscopic Heller myotomy and Dor fundoplication (LHD) is widely performed to address achalasia, little is known about the learning curve for this technique. We assessed the learning curve for performing LHD. METHODS Of the 514 cases with LHD performed between August 1994 and March 2016, the surgical outcomes of 463 cases were evaluated after excluding 50 cases with reduced...

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Laparoscopic Heller myotomy and Dor fundoplication for achalasia: analysis of successes and failures.

BACKGROUND In the treatment of achalasia, surgery has been traditionally reserved for patients with residual dysphagia after pneumatic dilatation. The results of laparoscopic Heller myotomy have proven to be so good, however, that most experts now consider surgery the primary treatment. HYPOTHESIS The outcome of laparoscopic myotomy and fundoplication for achalasia is dictated by technical fa...

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The choice of optimal antireflux procedure after laparoscopic cardiomyotomy: two decades of clinical experience in one center

INTRODUCTION Two types of partial wrap are commonly performed in achalasia patients after Heller myotomy: the posterior 270° fundoplication (Toupet) and the anterior 180° fundoplication (Dor). The optimal type of fundoplication (posterior vs. anterior) is still debated. AIM To compare the long-term rates of dysphagia, reflux symptoms and patient satisfaction with current postoperative conditi...

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ژورنال

عنوان ژورنال: Asian Journal of Surgery

سال: 2021

ISSN: 1015-9584

DOI: 10.1016/j.asjsur.2020.04.007