منابع مشابه
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...
متن کاملSurgical 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 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 کاملPneumatic dilatation and surgical myotomy for achalasia.
CONTEXT Pneumatic dilatation and surgical (Heller) myotomy are the 2 principal methods for treatment of achalasia. There are no population-based studies comparing outcomes of these 2 treatments in typical practice settings. OBJECTIVE To compare the outcomes of pneumatic dilatation and surgical myotomy for achalasia. DESIGN, SETTING, AND PARTICIPANTS Retrospective longitudinal study using li...
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: Annals of Surgery
سال: 2006
ISSN: 0003-4932
DOI: 10.1097/01.sla.0000216782.10502.47