conclusions our study showed that laparascopic helermyotomy with dor fundoplication result in significant relief of dysphagia. overall clinical symptoms indicate improvement in patient functional status during 18-month follow-up. patients and methods thirty patients who underwent heller myotomy for achalasia via laparoscopy in alzahra hospital isfahan, iran were recorded prospectively (2009 - 2...

OBJECTIVE Cricopharyngeal myotomy as an independent procedure has been performed on fourteen patients with a variety of neuromuscular disorders, suffering from neurogenic oropharyngeal dysphagia in the interval between 1994-1997. All of them were referred from a neurophysician or physiatrist after failure of improvement by medical treatment. METHODS The selection of patients for operation was...

Septal hyper-contractility is thought to be the principal cause of significant left ventricular outflow tract obstruction (LVOT) and systolic anterior motion (SAM) of the mitral valve by making the distance between the mitral valve and papillary muscle shorter. A seven-year-old patient with severe hypertrophic obstructive cardiomyopathy underwent direct interventricular septal myectomy/myotomy ...

Dear Editor, Peroral endoscopic myotomy (POEM) is a treatment for achalasia which can potentially obviate the need for intraabdominal surgery, whilst at the same time, deliver the same effective treatment as the current standard of care – surgical myotomy. Although POEM has shown encouraging 1-year success rates of more than 90%,1-3 it remains a technically demanding procedure. In the absence o...

A 62-year-old woman with a history of mitral valve regurgitation replacement operation 20 years ago presented to our hospital severe dysphagia, reflux sensation, and retrosternal pain that started half year after receiving transcatheter aortic implantation (TAVI) for the treatment stenosis. Esophagogastroduodenoscopy revealed tortuous oesophagus fluid retention. Barium oesophagography beaklike ...

Background and study aims  Childhood achalasia treatment remains inconclusive. What is next after myotomy failure? Repeated pneumatic-dilation put patients at greater risk of perforation with possible symptom recurrence. We report on a 12-year-old patient with a 1-year history of achalasia whom underwent Heller myotomy with fundoplication and recurred with symptoms 1 week after surgery. Pneumat...

Advances in endoscopic submucosal dissection include a submucosal tunneling technique, involving the introduction of tunnels into the submucosa. These tunnels permit safer offset entry into the peritoneal cavity for natural orifice transluminal endoscopic surgery. Technical advantages include the visual identification of the layers of the gut, blood vessels, and subepithelial tumors. The creati...

BACKGROUND Undetected perforation during laparoscopic pyloromyotomy can be fatal. Detecting a perforation at the time of laparoscopic pyloromyotomy is difficult. The purpose of this study was to determine whether air insufflation of the stomach reliably detects perforation during laparoscopic pyloromyotomy. CASE REPORTS Between 2007 and 2008, 71 patients underwent laparoscopic pyloromyotomy a...

Only 18 or 83 patients who had had a cardiomyotomy for achalasia could be induced to reflux barium. Mucosal herniation through the myotomy was shown in most by radiography. Perfusion manometry showed a higher pressure zone in the oesophagogastric junction region in 22 of 24 patients studied. This high pressure zone responded to an increment in abdominal pressure by a greater increment. The same...

OBJECTIVE To examine the effect of a new surgical intervention, consisting of cricopharyngeal myotomy and tracheal cartilaginous implantation on the anterior wall of the esophagus, for tracheoesophageal shunt and esophageal phonation. DESIGN We examined the vibration of the neoglottis of tracheoesophageal shunt and esophageal speakers after total laryngectomy using a high-speed video camera (...