Randomized Controlled Trial of Botulinum Toxin Versus Laparoscopic Heller Myotomy for Esophageal Achalasia
نویسندگان
چکیده
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 کاملINJECTION OF BOTULINUM TOXIN IN THE TREATMENT OF ACHALASIA: A RANDOMIZED, DOUBLE BLIND, CONTROLLED CLINICAL TRIAL
Our aim was to evaluate the short and long term efficacy of botulinum toxin therapy in Iranian patients with achalasia. In a randomized, double blind trial, 20 patients with achalasia, referring to Imam Khomeini Hospital, received either 80 units of botulinum toxin (BT) or placebo (PL) from 1995 to 1998. Two weeks later, the response to treatment was assessed on the basis of changes in the...
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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 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...
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: 2004
ISSN: 0003-4932
DOI: 10.1097/01.sla.0000114217.52941.c5