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End-stage achalasia.

Abstract：

:Despite symptom improvement offered to achalasia patients by either pneumatic dilation or surgical myotomy, 10% to 15% of those so treated will present progressive deterioration of their esophageal function and up to 5% may eventually require an esophagectomy. The natural evolution of achalasia to its end stage as well as the timing of esophagectomy in these patients form the basis of this review. The optimal reconstruction for the decompensated resected esophagus will also be explored: gastric interposition, colon interposition, and jejunal interposition all have their respective advantages and disadvantages. Their use is examined in the exclusive context of resection for achalasia.

journal_name

Dis Esophagus

journal_title

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

authors

Duranceau A,Liberman M,Martin J,Ferraro P

doi

10.1111/j.1442-2050.2010.01157.x

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

319-30

issue

4

eissn

1120-8694

issn

1442-2050

journal_volume

25

pub_type

杂志文章,评审

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