OBJECTIVE To assess the long-term results and health-related quality of life in patients undergoing surgery for oesophageal achalasia. METHODS Thirty-nine patients with achalasia (25 males, mean age 42+/-13 years) underwent open-Heller myotomy and Dor fundoplication by the same surgeon. Long-term results were assessed by imaging, endoscopy, manometry, pH-metry, and Short Form 36 and Nottingha...

HYPOTHESIS Laparoscopic techniques can be used to treat patients whose antireflux surgery has failed. DESIGN Case series. SETTING Two academic medical centers. PATIENTS Forty-six consecutive patients, of whom 21 were male and 25 were female (mean age, 55.6 years; range, 15-80 years). Previous antireflux procedures were laparoscopic (21 patients), laparotomy (21 patients), thoracotomy (3 p...

UNLABELLED Achalasia is an uncommon oesophageal motor disorder, with a controversial therapeutic management. AIM The aim of our study was to analyse our experience in the management of achalasia, assessing the impact of minimally invasive surgery, its complications and its outcomes in the short and medium term. METHODS A retrospective and descriptive study was designed, including all patien...

Systemic sclerosis (SSc) is a disease that affects the gastrointestinal tract resulting in its atrophy and fibrosis of smooth muscles. Approximately 80% SSc patients develop both gastroesophageal reflux (GERD) dysphagia. The nocturnal GERD can cause regurgitation aspiration, which further aggravate pulmonary from SSc. Also, their dysphagia worsened by performing standard Nissen fundoplication. ...

Achalasia is a rare disorder characterised by obstruction of the distal oesophagus and subsequent dilation of the proximal oesophagus. Patients generally complain of gastrointestinal symptoms; however, pulmonary symptoms and complications may also occur. A 35-year-old woman was brought to our emergency service complaining of sudden-onset dyspnea that started 15 minutes earlier during dinner. Sh...

A laparoscopic wedge resection for a submucosal tumor, which is close to the gastroesophageal junction, is technically challenging. This can be a dilemma to both patients and surgeons when the tumor margin involves the gastroesophageal junction because a wedge resection in this situation might result in a deformity of the gastroesophageal junction or an injury to the lower esophageal sphincter,...

Relevance. Treatment of achalasia the cardia (AС) is currently palliative, aimed at reducing manifestation clinical symptoms disease. Together with instrumental methods examination esophageal function, Eckardt scale and GIGLI questionnaire are convenient simple tools for evaluating results in long-term postoperative period. The aim study was to evaluate surgical treatment patients 2-4 stages AС...