[Preliminary results of laparoscopic video esophagomyotomy in patients with esophageal achalasia].

Abstract:

BACKGROUND:Laparoscopic esophagomyotomy is becoming a good alternative to pneumatic dilatation, injection of botulinic toxin or classical surgery in the treatment of achalasia. AIM:To report the results of laparoscopic esophagomyotomy in patients with achalasia. PATIENTS AND METHODS:Nineteen patients with achalasia, nine women, aged 9 to 66 years old, operated between 1996 and 2001 are reported. RESULTS:There was no surgical mortality. One patient had a subphrenic abscess due to an unnoticed tear of the esophageal mucosa. During surgery, esophageal mucosa was perforated in 4 patients, that was sutured in three. One patient with an extensive tear of the mucosa required conversion to classical surgery. Patients were followed for 2 to 48 months. Radiological controls showed a significant increase in the diameter of gastroesophageal junction and a diameter reduction of the mid third esophageal segment. Lower esophageal pressure was significantly reduced. All patients experienced a weight increase and reduction of dysphagia. CONCLUSIONS:Laparoscopic esophagomyotomy is a safe an effective therapeutic alternative for achalasia.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Csendes A,Burdiles P,Korn O,Braghetto I,Díaz JC,Henríquez A

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

1142-6

issue

10

eissn

0034-9887

issn

0717-6163

journal_volume

129

pub_type

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