Laparoscopic Heller Myotomy Improves Esophageal Emptying and the Symptoms of Achalasia

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Laparoscopic Heller myotomy improves esophageal emptying and the symptoms of achalasia.

HYPOTHESIS Laparoscopic Heller esophageal myotomy improves esophageal clearance and symptoms of achalasia in the early and late postoperative periods. DESIGN We followed up 98 consecutive patients attending a referral center between February 1, 1994, and July 1, 2000, who underwent laparoscopic myotomy. Operative time, complications, and length of stay were recorded. Postoperative outcomes we...

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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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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...

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Robot-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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The 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...

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ژورنال

عنوان ژورنال: Archives of Surgery

سال: 2001

ISSN: 0004-0010

DOI: 10.1001/archsurg.136.8.892