Pneumatic Dilation and Laparoscopic Heller's Myotomy Equally Effective for Achalasia

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منابع مشابه

Pneumatic Dilation versus Laparoscopic Heller's Myotomy for Idiopathic Achalasia (N Engl J Med 2011;364:1807-1816)

CC This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons. org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. *Correspondence: Justin C Y Wu, MD Institute of Digestive Disease, The Chinese Universit...

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Laparoscopic Heller myotomy is not superior to pneumatic dilation in the management of primary achalasia

BACKGROUND Achalasia is an esophageal motility disorder, of unknown cause, which results in increased lower esophageal sphincter tone and symptoms of difficulty swallowing. Current major therapeutic options include laparoscopic Heller myotomy (LHM) and pneumatic dilation (PD). We undertake a systematic review comparing the efficacy and safety of these 2 treatments in the treatment of esophageal...

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Pneumatic 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...

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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 esophageal myotomy versus pneumatic dilation in the treatment of idiopathic achalasia: a meta-analysis of randomized controlled trials

BACKGROUND Achalasia is a primary esophageal motility disorder of unknown etiology associated with abnormalities in peristalsis and lower esophageal sphincter relaxation. The disease is incurable; however, definitive treatment procedures like pneumatic dilation (PD)/balloon dilation and laparoscopic esophageal myotomy (LEM) are performed to relieve dysphagia and related symptoms. Currently, the...

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ژورنال

عنوان ژورنال: New England Journal of Medicine

سال: 2011

ISSN: 0028-4793,1533-4406

DOI: 10.1056/nejme1100693