Achalasia 2016: Treatment Alternatives

被引：6
作者：
Herbella, Fernando A. M. [1 ]
Moura, Eduardo G. H. [2 ]
Patti, Marco G. [3 ]
机构：
[1] Univ Fed Sao Paulo, Escola Paulista Med, Dept Surg, Rua Diogo de Faria 1087 Cj 301, BR-04037003 Sao Paulo, SP, Brazil
[2] Univ Sao Paulo, Dept Gastroenterol, Sao Paulo, Brazil
[3] Univ N Carolina, Dept Surg, Chapel Hill, NC USA
来源：
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | 2017年 / 27卷 / 01期
关键词：
achalasia; dysphagia; gastroesophageal reflux; laparoscopic Heller myotomy; per oral endoscopic myotomy; pneumatic dilatation; LAPAROSCOPIC HELLER MYOTOMY; PERORAL ENDOSCOPIC MYOTOMY; RANDOMIZED CONTROLLED-TRIAL; PNEUMATIC DILATION; ESOPHAGEAL ACHALASIA; BALLOON DILATATION; OUTCOMES; FUNDOPLICATION; POEM; COMPLICATIONS;
D O I：
10.1089/lap.2016.0468
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The treatment for achalasia changed dramatically after the introduction of minimally invasive surgery. Since 1991, laparoscopic Heller myotomy (LHM) has replaced pneumatic dilatation (PD) as the primary form of treatment in many centers. Over time, PD became safer, and eventually endoscopic experts were able to perform an endoscopic myotomy via a per oral endoscopic myotomy (POEM). This article reviews the advantages and disadvantages of each technique. Ultimately, the best outcomes are obtained by a multidisciplinary team that can tailor a specific treatment to each individual patient.
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收藏
页码：6 / 11
页数：6
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  • [31] Randomized Controlled Trial of Laparoscopic Heller Myotomy Plus Dor Fundoplication Versus Nissen Fundoplication for Achalasia Long-Term Results
    Rebecchi, Fabrizio
    Giaccone, Claudio
    Farinella, Eleonora
    Campaci, Roberto
    Morino, Mario
    [J]. ANNALS OF SURGERY, 2008, 248 (06) : 1023 - 1030
  • [32] Perioperative management and treatment for complications during and after peroral endoscopic myotomy (POEM) for esophageal achalasia (EA) (data from 119 cases)
    Ren, Zhong
    Zhong, Yunshi
    Zhou, Pinghong
    Xu, Meidong
    Cai, Mingyan
    Li, Liang
    Shi, Qiang
    Yao, Liqing
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2012, 26 (11): : 3267 - 3272
  • [33] Tacks, staples, or suture: method of peritoneal closure in laparoscopic transabdominal preperitoneal inguinal hernia repair effects early quality of life
    Ross, Samuel W.
    Oommen, Bindhu
    Kim, Mimi
    Walters, Amanda L.
    Augenstein, Vedra A.
    Heniford, B. Todd
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2015, 29 (07): : 1686 - 1693
  • [34] Postoperative Gastroesophageal Reflux After Laparoscopic Heller-Dor for Achalasia: True Incidence with an Objective Evaluation
    Salvador, Renato
    Pesenti, Elisa
    Gobbi, Laura
    Capovilla, Giovanni
    Spadotto, Lorenzo
    Voltarel, Guerrino
    Cavallin, Francesco
    Nicoletti, Loredana
    Valmasoni, Michele
    Ruol, Alberto
    Merigliano, Stefano
    Costantini, Mario
    [J]. JOURNAL OF GASTROINTESTINAL SURGERY, 2017, 21 (01) : 17 - 22
  • [35] Laparoscopic Heller Myotomy Versus Endoscopic Balloon Dilatation for the Treatment of Achalasia A Network Meta-Analysis
    Schoenberg, Markus B.
    Marx, Svetlana
    Kersten, Jan F.
    Roesch, Thomas
    Belle, Sebastian
    Kaehler, Georg
    Vassiliou, Melina C.
    Lueth, Stefan
    von Renteln, Daniel
    [J]. ANNALS OF SURGERY, 2013, 258 (06) : 943 - 952
  • [36] How does the robot affect outcomes? A retrospective review of open, laparoscopic, and robotic Heller myotomy for achalasia
    Shaligram, Abhijit
    Unnirevi, Jayaraj
    Simorov, Anton
    Kothari, Vishal M.
    Oleynikov, Dmitry
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2012, 26 (04): : 1047 - 1050
  • [37] Peroral endoscopic myotomy for esophageal achalasia: outcomes of the first over 100 patients with short-term follow-up
    Shiwaku, Hironari
    Inoue, Haruhiro
    Yamashita, Kanefumi
    Ohmiya, Toshihiro
    Beppu, Richiko
    Nakashima, Ryo
    Takeno, Shinsuke
    Sasaki, Takamitsu
    Nimura, Satoshi
    Yamashita, Yuichi
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2016, 30 (11): : 4817 - 4826
  • [38] Per-oral endoscopic myotomy white paper summary
    Stavropoulos, Stavros N.
    Desilets, David J.
    Fuchs, Karl-Hermann
    Gostout, Christopher J.
    Haber, Gregory
    Inoue, Haruhiro
    Kochman, Michael L.
    Modayil, Rani
    Savides, Thomas
    Scott, Daniel J.
    Swanstrom, Lee L.
    Vassiliou, Melina C.
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2014, 28 (07): : 2005 - 2019
  • [39] Efficacy of peroral endoscopic myotomy (POEM) in the treatment of achalasia: a systematic review and meta-analysis
    Talukdar, Rupjyoti
    Inoue, Haruhiro
    Reddy, D. Nageshwar
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2015, 29 (11): : 3030 - 3046
  • [40] Factors predicting the technical difficulty of peroral endoscopic myotomy for achalasia
    Tang, Xiaowei
    Ren, Yutang
    Wei, Zhengjie
    Zhou, Jieqiong
    Deng, Zhiliang
    Chen, Zhenyu
    Jiang, Bo
    Gong, Wei
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2016, 30 (09): : 3774 - 3782
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