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Mucosal perforation during laparoscopic surgery for achalasia: impact of preoperative pneumatic balloon dilation.
Surg Endosc
March 2017
Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Background: Controversy remains whether preoperative pneumatic balloon dilation (PBD) influences the surgical outcome of laparoscopic esophagocardiomyotomy in patients with esophageal achalasia. The aim of this study was to evaluate whether preoperative PBD represents a risk factor for surgical complications and affects the symptomatic and/or functional outcomes of laparoscopic Heller myotomy with Dor fundoplication (LHD).
Methods: A retrospective chart review was conducted on a prospectively compiled surgical database of 103 consecutive patients with esophageal achalasia who underwent LHD from November 1994 to September 2014.
Objectives: To review transabdominal esophagocardiomyotomy (surgical treatment of achalasia) of the esophagus and to compare outcomes of partial anterior vs partial posterior fundoplication.
Data Sources: An electronic search was conducted among studies published between January 1976 and September 2011 using the keywords achalasia, myotomy, antireflux surgery, and fundoplication.
Study Selection: Prospective studies of transabdominal esophagocardiomyotomy were selected.
Esophageal achalasia of unknown etiology in infants.
World J Pediatr
February 2008
Department of Pediatric Surgery, IMS, BHU, Varanasi, India.
Background: Achalasia cardia is an uncommon disease in children particularly in infants. We present 8 cases of achalasia who were encountered over a 12-year period. In infantile achalasia, respiratory symptoms predominate and vomiting may easily be mistaken for gastroesophageal reflux (GER).
View Article and Find Full Text PDF[Minimally invasive surgical treatment for mid-esophageal and epiphrenic diverticula].
Magy Seb
December 2005
Szegedi Tudományegyetem Szent-Györgyi Albert Orvos- és Gyógyszerésztudományi Centrum Altalános Orvostudományi Kar, Sebészeti Klinika, Szeged
Unlabelled: We report thoracoscopically or laparoscopically successfully treated patients with giant mid-esophageal and epiphrenic diverticula. Four patients presented with significant dysphagia for solid food, retrosternal pain, regurgitation and weight loss. They underwent the following gastroenterologic investigations: barium swallow, esophagoscopy, bronchoscopy and esophageal pH- and manometry.
View Article and Find Full Text PDFComplications of laparoscopic treatment of esophageal achalasia in children.
J Pediatr Surg
May 2000
Division of Pediatric Surgery, University of Naples, Italy.
Background/purpose: The aim of this study was to evaluate the incidence and management of the complications that occurred in some children who underwent laparoscopic Heller's esophagocardiomyotomy in the authors' institutions.
Methods: Between March 1993 and October 1998, the files of all the children with achalasia who underwent laparoscopic Heller's esophagocardiomyotomy in a community hospital in Naples, Italy, and a private hospital in Paris, France, were reviewed. A 5-port technique was used associating Heller's esophagocardiomyotomy to an antireflux surgical mechanism (Dor's or Toupet's) in all cases.
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