AI Article Synopsis
- Some people with a condition called achalasia don't get better after a surgery called Heller myotomy, which is supposed to help with swallowing problems.
- If their throat still feels tight after trying different treatments, doctors might need to remove part of the esophagus, but there’s a new way to fix it called stricturoplasty.
- This new method is done using small tools through tiny cuts in the belly, and it helped the patients feel better without serious problems after the surgery.
Article Abstract
Some achalasia patients do not ameliorate dysphagia after Heller myotomy. If stenosis does not respond to endoscopic dilatations and persists after a second extended myotomy, an esophageal resection is considered unavoidable. This article describes an original technique of treating this type of persistent stenosis with an esophageal stricturoplasty. The procedure was completed under laparoscopy. The postoperative course was uneventful. Resolution of all preoperative symptoms was achieved at the first year follow-up. Control of gastroesophageal reflux was documented by 24-hour pH-impedance. If confirmed by further cases, laparoscopic esophageal stricturoplasty could become a valid option for a conservative treatment of these patients.
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| http://dx.doi.org/10.1016/j.athoracsur.2006.07.013 | DOI Listing |
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