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Efficacy of laparoscopic cardiectomy combined with side overlap anastomosis for the treatment of terminal achalasia.
Sci Rep
January 2025
Department of Gastrointestinal Surgery, The First Affiliated Hospital of Zhengzhou University, 1 Jianshe Road, Zhengzhou, 450052, China.
To investigate the safety and short-term effectiveness of laparoscopic-assisted cardiectomy with side-overlap esophagogastric reconstruction for the treatment of terminal or end-stage achalasia, patients with end-stage achalasia treated with laparoscopic-assisted cardiectomy with side-overlap esophagogastric reconstruction were retrospectively enrolled. The clinical data, surgical data and follow-up were analyzed. Among twenty-five patients enrolled, the achalasia type St was present in 12 (48%) patients, type Sg in 9 (36%), and type aSg in 4 (16%).
View Article and Find Full Text PDFBackground: Achalasia is a motility disorder of the esophagus and depending on its type, esophageal tubular hypo- or hypermotility can cause typical symptoms, such as dysphagia, chest pain, weight loss, or regurgitation. Clinical symptoms during initial diagnosis as well as over the course of therapy can be measured by the Eckardt score. Diagnostics include high-resolution manometry (HR manometry), (timed barium) esophagogram, upper gastrointestinal endoscopy, multiple rapid swallow response, and Endo-FLIP measurement.
View Article and Find Full Text PDFEndoscopic "step-up" myotomy: a salvage technique for full-thickness tunnel entry in end-stage achalasia.
J Gastrointest Surg
February 2025
Division of Gastroenterology and Hepatology, Weill Cornell Medicine, NewYork-Presbyterian Hospital, New York, United States.
Management of recurrent end-stage achalasia with robotic-assisted esophagectomy: a case report and literature review.
Ann Med Surg (Lond)
November 2024
Bogomolets National Medical University, Kyiv, Ukraine.
Introduction And Importance: Achalasia, an uncommon esophageal motility disorder, presents therapeutic challenges, especially in refractory cases with a history of multiple surgeries. Here, we present a complex case illustrating the dilemmas and multidisciplinary approach required in managing such patients. This case underscores the relevance of newer techniques like robotic-assisted esophagectomy in refractory achalasia management.
View Article and Find Full Text PDFManagement of end - stage achalasia with laparoscopic Heller myotomy: A case report.
Int J Surg Case Rep
December 2024
General Surgery department, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo 1248, Córdoba Capital, Argentina.
Introduction: Achalasia is a rare esophageal motility disorder causing dysphagia and weight loss. Severe cases may present with a significantly dilated and sigmoid-shaped esophagus (sigmoid achalasia). Traditionally, esophagectomy was used for such cases.
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