Predictors of Long-term Outcome After Laparoscopic Esophagomyotomy and Dor Fundoplication for Achalasia

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Predictors of long-term outcome after laparoscopic esophagomyotomy and Dor fundoplication for achalasia.

OBJECTIVE To identify predictors of long-term outcome of laparoscopic Heller myotomy for achalasia, including predictors of heartburn and recurrent dysphagia, which occasionally develop postoperatively. DESIGN Retrospective review using interviews of patients. SETTING Academic university hospital. PATIENTS One hundred sixty-five patients with achalasia who underwent a laparoscopic esophag...

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Laparoscopic Heller cardiomyotomy and Dor fundoplication for esophageal achalasia: possible factors predicting outcome.

HYPOTHESIS Laparoscopic Heller myotomy with anterior hemifundoplication is the surgical procedure of choice for the treatment of esophageal achalasia. Specific factors, eg, severity of esophageal body deformity, might affect postoperative outcome. DESIGN Prospective case-control study. SETTING Academic referral center for gastrointestinal tract motility disorders. PATIENTS Twenty-nine pat...

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Diaphragmatic Hernia after Laparoscopic Esophagomyotomy for Esophageal Achalasia in Pregnancy

Background. The optimal treatment for management of esophageal achalasia in pregnancy is controversial. Little information exists about pregnancy outcome after successful myotomy. Case. Achalasia in pregnancy was diagnosed when a patient presented with pneumomediastinum from microrupture of the overdistended esophagus. An attempt at surgical correction failed due to the development of aspiratio...

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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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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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ژورنال

عنوان ژورنال: Archives of Surgery

سال: 2011

ISSN: 0004-0010

DOI: 10.1001/archsurg.2011.214