Laparoscopic Heller’s Myotomy for Achalasia Cardia: One-Time Treatment in Developing Countries?
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 کاملPer Oral Endoscopic Myotomy in Children with Achalasia Cardia
Background/Aims Achalasia cardia (AC) is a motility disorder, characterized by impaired lower esophageal sphincter relaxation and absence of esophageal peristalsis. AC is rare in children with unclear optimum management strategies. Per oral endoscopic myotomy (POEM) is a novel technique for management of achalasia with encouraging results in adult patients. The efficacy and safety of POEM is no...
متن کاملAchalasia treatment: improved outcome of laparoscopic myotomy with operative manometry.
HYPOTHESIS Operative manometry detects residual esophagogastric junction (EGJ) high pressure, ensuring complete myotomy. DESIGN Consecutive patients undergoing laparoscopic myotomy. SETTING Tertiary care academic medical center. PATIENTS From 1997 to 2003, 139 patients with achalasia underwent laparoscopic myotomy. INTERVENTIONS We assessed myotomy completeness by operative endoscopy an...
متن کاملThe Choice of Myotomy in Achalasia Cardia: Heller's or Per-Oral Endoscopic Myotomy
Achalasia cardia (AC) is a neurodegenerative disease which leads to loss of inhibitory myenteric neurons. This implies that, with the currently available treatment options, we offer palliation but not cure to these patients. Pneumatic balloon dilatation (PBD) has been the only time‐tested endoscopic modality for the management of AC until recently. However, the requirement of repeated dilatatio...
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ژورنال
عنوان ژورنال: Indian Journal of Surgery
سال: 2016
ISSN: 0972-2068,0973-9793
DOI: 10.1007/s12262-016-1496-8