أعضاء هيئة التدريس - جامعة بنها
Laparoscopic Heller’s Cardiomyotomy for Achalasia of the Cardia with adding an antireflux procedure to provide better surgical outcomes
• 2014
معلومات البحث
المؤلفون
Nasser A. Zaher, MD; El-Sayed A. Abd El-Mabood, MD; Refaat S. Salama, MD;
الكلمات المفتاحية
Esophagus, Achalasia cardia, Laparoscopy, Heller’s Cardiomyotomy, Antireflux procedure
المجلة العلمية
Not Available
الناشر
Not Available
المجلد
Not Available
العدد
Not Available
الصفحات
Not Available
publication.type
International
رابط البحث
Not Available
المواد المرفقة
Not Available
الملخص
Purposes: Find out advantages of Laparoscopic Heller’s Cardiomyotomy & how to give better surgical outcomes by adding an antireflux procedure.
Background: Achalasia cardia is progressive in nature & don’t have any definitive cure. Esophageal cardiomytomy forms the backbone of the treatment. Over a period of last few years; minimal access surgery is gaining popularity as primary modality of achalasia management.
Patients and methods: The study included 36 patients; 7 (19.5%) ≤ 20years old, 24 (66.8%) between 20-35 years old and 5 (13.8%) above 35 years old. All patients underwent clinical evaluation, laboratory assessment, upper GIT Endoscopy & Esophageal manometry. All patients undergoing laparoscopic cardiomytomy; followed by either a modified Toupet fundoplication (270° posterior fundoplication, or a Dor fundoplication (180° anterior fundoplication).
Results: There was satisfactory relief of Dysphagia in all surgery performed (P-Value =0.011); but low incidence of postoperative reflux was noticed only in modified Toupet fundoplication (P-Value
Background: Achalasia cardia is progressive in nature & don’t have any definitive cure. Esophageal cardiomytomy forms the backbone of the treatment. Over a period of last few years; minimal access surgery is gaining popularity as primary modality of achalasia management.
Patients and methods: The study included 36 patients; 7 (19.5%) ≤ 20years old, 24 (66.8%) between 20-35 years old and 5 (13.8%) above 35 years old. All patients underwent clinical evaluation, laboratory assessment, upper GIT Endoscopy & Esophageal manometry. All patients undergoing laparoscopic cardiomytomy; followed by either a modified Toupet fundoplication (270° posterior fundoplication, or a Dor fundoplication (180° anterior fundoplication).
Results: There was satisfactory relief of Dysphagia in all surgery performed (P-Value =0.011); but low incidence of postoperative reflux was noticed only in modified Toupet fundoplication (P-Value