The late results of Heller's operation for cardiospasm

Douglas, Keith; Nicholson, Frank

doi:10.1002/bjs.18004720313

Cited by 23 publications

(5 citation statements)

References 2 publications

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“…Achalasia was more fully described by Ziemssen, Zenker, and Mikulicz in the 19th century [6,20]. Since that time, various nonsurgical therapies have been employed to treat this disease, including esophageal dilation, oral nitrates, calcium channel blockers, and the injection of botulinum toxin directly into the lower esophageal sphincter.…”

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confidence: 98%

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Operative manometry and endoscopy during laparoscopic Heller myotomy

et al. 1999

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confidence: 98%

“…His operation involved both an anterior and a posterior longitudinal esophageal myotomy performed through a thoracotomy incision [6]. Since that time, many modifications of the original procedure have been introduced, with variations of such factors as the operative approach and the length of the myotomy.…”

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confidence: 99%

Operative manometry and endoscopy during laparoscopic Heller myotomy

et al. 1999

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“…Nemir et al (1976) reported 7 cases of postoperative hiatal herniation in a review of patients treated by the transabdominal route. Some surgeons perform hiatal herniorrhaphy after transthoracic oesophagomyotomy (Douglas and Nicholson, 1959;Effler et al, 1971), but others do not include hiatal reconstruction or gastric fixation in the transthoracic approach (Ellis, 1973 ;Sariyanis and Mullard, 1975).…”

Section: Discussionmentioning

confidence: 99%

Acute hiatal hernia with oesophageal perforation following Heller's operation

Fletcher

1978

Journal of British Surgery

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The unusual complication of acute hiatal hernia with oesophageal rupture following transthoracic oesophagomyotomy is described in 2 cases. Inadvertent disruption and widening of the oesophageal hiatus at the time of surgery coupled with increased intragastric and intra-abdominal pressure were the probable causes. The hiatus should be carefully inspected on completion of the myotomy and anatomical restoration performed if necessary in order to avoid this complication. Urgent surgical intervention, gastric fundal serosal patch repair and intravenous alimentation proved successful in the management of these patients.

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“…Heller (19I4) stressed the need for a complete myotomy and advocated a double incision for this purpose. Recurrence after an incomplete operation is common, and is commoner with the abdominal approach than with the thoracic approach where a longer and more complete myotomy is possible (Douglas and Nicholson, 1959). The myotomy to be effective should extend from the upper i in.…”

Section: Commentmentioning

confidence: 99%