Staff Members - Benha University
Laparoscopic Heller’s Cardiomyotomy for Achalasia of the Cardia with adding an antireflux procedure to provide better surgical outcomes
• 2014
Publication Information
Authors
Nasser A. Zaher, MD; El-Sayed A. Abd El-Mabood, MD; Refaat S. Salama, MD;
Keywords
Esophagus, Achalasia cardia, Laparoscopy, Heller’s Cardiomyotomy, Antireflux procedure
Journal
Not Available
Publisher
Not Available
Volume
Not Available
Issue
Not Available
Pages
Not Available
publication.type
International
Paper Link
Not Available
Supplementary Materials
Not Available
Abstract
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