Long-term results of laparoscopic Heller myotomy with partial fundoplication for the treatment of achalasia

Bonatti, Hugo; Hinder, Ronald A.; Klocker, Josef; Neuhauser, Beate; Alexander, Klaus; Achem, Sami R.; Vault, Kenneth de

doi:10.1016/j.amjsurg.2005.08.012

Cited by 103 publications

(56 citation statements)

References 29 publications

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“…Near-zero morbidity and mortality rates also recommend this surgery in the management of achalasia 17,21,22,27,28,30,[32][33][34]37 .…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…Some authors use a decrease in PLES 26 as the criterion, while others use criteria based on symtoms listed in questionnaire schemes with a scale of points 21,22 similar to the one chosen for the present study. Some authors draw on reports of dysphagia relief as an improvement parameter 27,28 .…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…Few patients required reoperation in the available series; the great majority was treated by PCD or the botulinum toxin 21,22,[27][28][29][30][32][33][34] .…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…Oelschlager 35 published a series comparing the length of cardiomyotomies and found in those with extended myotomies a mean PLES of 9.5 mmHg versus 15.8 mmHg ns with shorter myotomies, and 17 % of those individuals with short myotomies presented with dysphagia recurrence versus only 3% in the series with extended cardiomyotomy. Some authors have made use of a perioperative gastrointestinal endoscopy in order to achieve a total myotomy in the regions of the cardia, and the same objective has guided the use of perioperative esophageal manometry 27,32,36 . The addition of an antireflux procedure, namely, the Dor fundoplication, aims to protect the esophagus from postoperative GERD.…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

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Qualidade de vida após a cardiomiotomia à Heller-Dor

Madureira¹,

Madureira²,

Loss³

et al. 2009

Rev. Col. Bras. Cir.

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, were studied retrospectively. Before surgery, the demographics and the diagnostic test results were recorded. The patients submitted a dysphagia score for quality of life before and after surgery, and lower esophageal sphincter pressure (PLES) was measured. We also studied the difference produced in quality of life Results:Results: Results: Results: Results: 37 women and 23 men were followed. Mean age was 41.08 (12-87). There was no mortality and no conversions. The mean time of diet resumption was 1.6 day. The outcome was considered excellent in 80% of the series and intermediate in 20% of the series. The mean dysphagia score before surgery was 9.03 points, and after surgery, 1.7 point (maximum of 10 points), p=0.0001. The mean score decrease between pre-and postoperative scores was 7.33 points (87.17%). The mean PLES before surgery was 32.41 mmHg, and 12.7 mmHg after. Conclusion:Conclusion: Conclusion: Conclusion: Conclusion: HDL is a safe procedure and changed significantly the subjective quality of life scores, as well as the objective PLES means.

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“…Near-zero morbidity and mortality rates also recommend this surgery in the management of achalasia 17,21,22,27,28,30,[32][33][34]37 .…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…Few patients required reoperation in the available series; the great majority was treated by PCD or the botulinum toxin 21,22,[27][28][29][30][32][33][34] .…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

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Qualidade de vida após a cardiomiotomia à Heller-Dor

Madureira¹,

Madureira²,

Loss³

et al. 2009

Rev. Col. Bras. Cir.

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“…The surgery became satisfactory when the minimally invasive techniques were developed in the early 1990s. The hospital stay and postoperative pain were less in minimally invasive approach with symptomsas relief as amount as open surgery (13)(14)(15)(16)(17). Nowadays, there are several methods for surgical treatment of achalasia, such partial fundoplication, Toupet method (180 degree posterior fundoplication), myotomy without fundoplication et cetera.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Heller Myotomy and Dor Fundoplication: Prospective Evaluation of 30 Consecutive Patients

Mohajeri

Mahmoudieh

Keleidari

et al. 2016

J Minim Invasive Surg Sci

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Background: Prospective studies evaluating outcome of laparoscopic Heller myotomy and Dor fundoplication for esophageal achalasia are less in Asian people. Objectives: This study conducted to evaluate the results of laparoscopic cardiomyotomy and partial fundoplication for achalasia. Patients and Methods: Thirty patients who underwent Heller myotomy for achalasia via laparoscopy in Alzahra hospital Isfahan, Iran were recorded prospectively (2009 -2013). Median follow-up was 18 months. Symptoms including dysphagia, regurgitation, chest pain and weight loss were recorded before and after operation. Also, previous treatment for achalasia such as endoscopic pneumatic dilatations and intrasphincteric injection of botulinum toxin or other component, duration of symptoms and duration and complication of operation was recorded. Results: Among 30 patients, there were 13 (43.3%) females and 17 (56.7%) males, and mean age was 40.8 years (range, 20 -68 years).

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Predictors of Long-term Outcome After Laparoscopic Esophagomyotomy and Dor Fundoplication for Achalasia

Carter

Nguyen²,

Roll³

et al. 2011

Arch Surg

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Objective: To identify predictors of long-term outcome of laparoscopic Heller myotomy for achalasia, including predictors of heartburn and recurrent dysphagia, which occasionally develop postoperatively. Design: Retrospective review using interviews of patients. Setting: Academic university hospital. Patients: One hundred sixty-five patients with achalasia who underwent a laparoscopic esophagomyotomy and Dor fundoplication. Main Outcome Measures: Dysphagia and heartburn before and after the operation were assessed on a 4-point Likert scale, as were postoperative dilations, reoperations, and antacid use. Potential predictors were age, race, sex, body mass index, weight loss, duration of symptoms, manometry findings, esophageal diameter, previous treatment, and operative technique. Results: Follow-up averaged 62 (range, 1-174) months. Dysphagia frequency was once a week or less in 128 pa

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Long-term results of laparoscopic Heller myotomy with partial fundoplication for the treatment of achalasia

Cited by 103 publications

References 29 publications

Qualidade de vida após a cardiomiotomia à Heller-Dor

Qualidade de vida após a cardiomiotomia à Heller-Dor

Laparoscopic Heller Myotomy and Dor Fundoplication: Prospective Evaluation of 30 Consecutive Patients

Predictors of Long-term Outcome After Laparoscopic Esophagomyotomy and Dor Fundoplication for Achalasia

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