Evolution of the Minimally Invasive Treatment of Esophageal Achalasia

被引：11

作者：

Bello, Brian ^{[1
]}

Herbella, Fernando A. ^{[1
]}

Patti, Marco G. ^{[1
]}

机构：

[1] Univ Chicago, Pritzker Sch Med, Dept Surg, Chicago, IL 60637 USA

来源：

WORLD JOURNAL OF SURGERY | 2011年 / 35卷 / 07期

关键词：

LAPAROSCOPIC HELLER MYOTOMY; RANDOMIZED CONTROLLED-TRIAL; TERM-FOLLOW-UP; TOTAL FUNDOPLICATION; GASTROESOPHAGEAL-REFLUX; TOUPET FUNDOPLICATION; DOR FUNDOPLICATION; NISSEN FUNDOPLICATION; EXPERIENCE; ESOPHAGOMYOTOMY;

D O I：

10.1007/s00268-011-1027-5

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Thanks to the advent of laparoscopic techniques, the last decade and a half have witnessed a radical change in the treatment of esophageal achalasia. Because of the high success rate of the laparoscopic Heller myotomy, surgery has now become in many centers the first modality of treatment for achalasia. This shift in the treatment algorithm reflects the fact that laparoscopic Heller myotomy with partial fundoplication outperforms nonsurgical approaches, such as balloon dilatation and intrasphincteric botulinum toxin injection.

引用

页码：1442 / 1446

页数：5

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