Onset timing of delayed complications and criteria of follow-up after operation for esophageal achalasia

Current status of an antireflux procedure in laparoscopic Heller myotomy

“…Based on the available data, it is difficult to determine the true incidence of postoperative GER. However, there is strong evidence that the incidence of GER increases with longer follow-up, with or without fundoplication [7,8,13,16]. The experience from open transthoracic and transabdominal series showed the incidence of GER after 10-20 years of follow-up to be twice that seen soon after operation [8,13].…”

Redo laparoscopic surgery for achalasia

“…Long-term results of operative treatment for achalasia tend to worsen with time. It may take up to 15 years for recurrent symptoms of dysphagia and the development of symptomatic gastroesophageal reflux to become clinically evident [4]. Therefore, the number of patients with good results will diminish with long follow-up evaluation.…”

“…Therefore, the number of patients with good results will diminish with long follow-up evaluation. Di Simmone et al [4] showed that postoperative reflux esophagitis appeared during a mean period of 76.5 months after operation. After an initial excellent result, there was a progressive recurrence of symptoms until 15 years after the operation, at which point the number of patients free of dysphagia and reflux were 71.9% and 69.2%, respectively.…”

Esophageal Motility Disorders

“…Akalazyanın kronik bir komplikasyonu da reflü özofajittir. Bu nedenle hastalarda Barret mukoza ve adenokarsinoma gelişmesi de sürpriz değildir (52). Akalazya tedavisi için yapılan miyotomi kanser riskini ortadan kaldırmaz.…”