Introduction: Achalasia occurs in up to 10 out of every 100,000 people worldwide, is associated with a large number symptoms that can impact the patient's quality life; laparoscopic myotomy Héller fundoplication represents gold standard surgery treatment this condition, has shown symptomatic improvement patient, However, studies have reported there are no significant manometric and changes post...

With advancements in the development of flexible endoscopes and endoscopic devices increased demand for minimally invasive treatments, indications therapeutic endoscopy have been expanded. Methods treatment used tissue removal, hemostasis, dilatation are as follows. Endoscopic submucosal dissection (ESD) is considered gold standard curative method removal gastrointestinal node-negative neoplasm...

Background: Eckardt score and Achalasia quality of life (ASQ) are two scoring systems used in achalasia. This study tries to compare these scores assessing the severity disease before 3 months after initiation treatment. Methods: 40 patients newly diagnosed with achalasia cardia were included this study. ASQ calculated at time presentation. Patients underwent either Laparoscopic Heller myotomy ...

OBJECTIVE Controversy still persists regarding the ideal length of myotomy to treat oesophageal achalasia. This investigation reports the effects of a short myotomy with an added partial fundoplication for reflux prevention. METHODS From 1997 to 2007, 22 patients (13 men, 9 women, median age: 41 years) with achalasia underwent a 6-cm short myotomy (four oesophagus and two stomach) with a Bels...

BACKGROUND Epiphrenic diverticulum is an uncommon disorder of the distal third of the esophagus. We report the case of a 73-year-old woman with a large symptomatic esophageal epiphrenic diverticulum, diffuse nonspecific esophageal dysmotility, and a hiatal hernia. METHODS Surgery was indicated by the patient's symptoms, the size of the diverticulum (maximum diameter 10 cm), and the associated...

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...

OBJECTIVES In the early 1990s, minimally invasive videoscopy was applied to numerous operations. After undertaking more than 50 "open" Heller myotomies, our experience with videoscopic Heller myotomy began in 1992. We sought to determine whether the outcome following videoscopic Heller myotomy is influenced by surgeon experience. METHODS Seventy-eight patients with severe dysphagia secondary ...

BACKGROUND/AIMS The role of the enteric (ENS) and central (CNS) nervous systems in the control of the retrograde giant contraction (RGC) associated with vomiting is unknown. METHODS The effects of myotomy or mesenteric nerve transection (MNT) on apomorphine-induced emesis were investigated in 18 chronically instrumented dogs. RESULTS Neither surgery affected the RGC orad of the surgical sit...