Reasons and prevalence of reoperations after esophagomyotomy for achalasia.

Background: Surgical esophagomyotomy has been shown to provide superior long-term symptom relief as compared with nonsurgical interventions. Failure of surgical treatment remains the center of controversy regarding this topic.

Methods: A retrospective review was conducted of all patients who underwent surgical treatment of achalasia from January 2005 to July 2009 at Cleveland Clinic Florida.

Experience of laparoscopic paraesophageal hernia repair at a single institution.

Background: Paraesophageal hernia patients are often elderly with complicating medical comorbidities, making surgical management complex in formulating a management strategy.

Methods: Between January 2005 and July 2009, 93 patients underwent surgical treatment of paraesophageal hernia, including 8 recurrent cases after multiple repairs. Open transabdominal surgeries were performed in 14 (15%) patients, and combined thoracotomy was performed in 1 (1%).

Esophagogastro-Roux-en-Y jejunostomy: a surgical option in recurrent achalasia? Case report and review of the literature.

Recurrent obstructive symptoms after cardiomyotomy for achalasia occur in approximately 10 per cent to 15 per cent of patients, but only some require reoperation. Reoperative procedures for achalasia vary, and in general, have less success in relieving symptoms than the initial procedure. We present the case of a 37-year-old male with a 15-year history of recurrent achalasia, with symptoms of heartburn and progressive dysphagia after meals.