Laparoscopic Heller Myotomy and Fundoplication in Patients with End-Stage Achalasia

被引：21

作者：

Herbella, Fernando A. M. ^{[1
]}

Patti, Marco G. ^{[2
]}

机构：

[1] Univ Fed Sao Paulo, Dept Surg, Escola Paulista Med, BR-04037003 Sao Paulo, SP, Brazil

[2] Univ Chicago, Dept Surg, Chicago, IL 60637 USA

来源：

WORLD JOURNAL OF SURGERY | 2015年 / 39卷 / 07期

关键词：

ESOPHAGEAL ACHALASIA; SIGMOID ESOPHAGUS; CHAGAS-DISEASE; PNEUMATIC DILATION; DILATATION;

D O I：

10.1007/s00268-014-2940-1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Achalasia may present in a non-advanced or advanced (end stage) stage. The latter is characterized by massive esophageal dilatation and/or the loss of the esophageal straight axis (sigmoid-shaped esophagus). The treatment for non-advanced cases of achalasia is well defined while the therapy for end-stage disease is still debatable. Laparoscopic Heller's myotomy is an option in patients with end-stage achalasia. Dysphagia is relieved in a significant number of patients, it is a simpler operation to be used in frail patients, and it does not preclude a latter esophagectomy if necessary.

引用

页码：1631 / 1633

页数：3

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