Laparoscopic Heller's myotomy or botulinum toxin injection for management of esophageal achalasia

1999 ◽  
Vol 13 (8) ◽  
pp. 742-746 ◽  
Author(s):  
C. N. Andrews ◽  
M. Anvari ◽  
J. Dobranowski
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin Injection ◽  
Esophageal Achalasia ◽  
Heller’S Myotomy ◽  
Heller's Myotomy

scholarly journals Does Heller’s myotomy provide superior clinical outcome in comparison to botulinum toxin injection for treatment of achalasia?

2012 ◽  
Vol 10 (3) ◽  
pp. 120-123 ◽  
Author(s):  
Athanasios Fovos ◽  
Omar Jarral ◽  
Vanash Patel ◽  
Thrasyvoulos Podas ◽  
Duncan Spalding ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Clinical Outcome ◽  
Botulinum Toxin Injection ◽  
Heller’S Myotomy ◽  
Heller's Myotomy

Specific esophagogram to assess functional outcomes after Heller's myotomy and Dor's fundoplication for esophageal achalasia

2011 ◽  
Vol 24 (7) ◽  
pp. 451-457 ◽  
Author(s):  
E. Tsoukali ◽  
N. Gouvas ◽  
J. Tsiaoussis ◽  
G. Pechlivanides ◽  
N. Zervakis ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Esophageal Achalasia ◽  
Heller’S Myotomy ◽  
Heller's Myotomy ◽  
Dor’S Fundoplication

Patterns of esophageal acid exposure after laparoscopic Heller’s myotomy and Dor’s fundoplication for esophageal achalasia

2007 ◽  
Vol 22 (6) ◽  
pp. 1493-1499 ◽  
Author(s):  
John Tsiaoussis ◽  
George Pechlivanides ◽  
Nikolaos Gouvas ◽  
Elias Athanasakis ◽  
Nikolaos Zervakis ◽  
...  
Keyword(s):  
Esophageal Achalasia ◽  
Esophageal Acid Exposure ◽  
Acid Exposure ◽  
Heller’S Myotomy ◽  
Heller's Myotomy ◽  
Dor’S Fundoplication

PS01.028: REOPERATIONS AFTER FAILED HELLER´S MYOTOMY FOR ESOPHAGEAL ACHALASIA

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 58-58
Author(s):  
Rosalba Roque González ◽  
Miguel Angel Martínez ◽  
Jorge Gerardo Pereira ◽  
Raul Jiménez ◽  
Vivianne Anido ◽  
...  
Keyword(s):  
Weight Loss ◽  
Longitudinal Study ◽  
Conflicts Of Interest ◽  
Laparoscopic Approach ◽  
Esophageal Achalasia ◽  
Postoperative Dysphagia ◽  
Heller’S Myotomy ◽  
Heller's Myotomy ◽  
The Mean ◽  
Causes Of Failure

Abstract Background Heller's cardiomyotomy associated with the anti-reflux procedure described by Dor is the treatment of choice in patients with esophageal achalasia. However, the causes of treatment failure are still controversial. The primary aim of this study is to describe the causes of failure of Heller's myotomy in patients operated on due to esophageal achalasia and the clinical progress of patients who required another surgery. Methods A descriptive, retrospective and longitudinal study of a series of patients who required another surgery due to failure of Heller's myotomy from January 2010 to December 2016. Results Heller's myotomy was performed in 253 patients diagnosed with esophageal achalasia. Of these patients, 7 (2.7%) required another surgery due to recurrence of symptoms, 4 (1.5%) were initially operated on at the institution and the rest were referred from other institutions in the country. Laparoscopic approach was utilized in 5 patients and 2 were treated thoracoscopically. The mean age was 41 ± 15 years (range 20–59). The most frequent symptoms were postoperative dysphagia and weight loss (100%). The time of recurrence of symptoms after the first operation was 6–12 months in 4 patients (57%), 12 to 18 months in 1 (16%) and 18 to 24 in 2 (33%) patients. Conclusion Incomplete myotomy was the main cause of reoperation, with laparoscopic re-myotomy with or without fundoplication being the surgical technique of choice for these patients, who had an excellent or good postoperative clinical progress. Disclosure All authors have declared no conflicts of interest.

PERORAL ENDOSCOPIC MYOTOMY IN TREATMENT OF THE ESOPHAGEAL ACHALASIA AT CHILDREN

2020 ◽  
Vol 99 (6) ◽  
pp. 241-246
Author(s):  
Yu.A. Kozlov ◽  
◽  
A.A. Smirnov ◽  
A.A. Rasputin ◽  
P.A. Baradieva ◽  
...  
Keyword(s):  
Esophageal Achalasia ◽  
Peroral Endoscopic Myotomy ◽  
Heller’S Myotomy ◽  
Endoscopic Method ◽  
Therapeutic Procedures ◽  
Heller's Myotomy ◽  
Prolonged Observation ◽  
Endoscopic Myotomy ◽  
Esophageal Sphincter

Etiological treatment of esophageal achalasia are absent. None of the currently available treatment methods can restore normal esophageal peristalsis and the functionality of the lower esophageal sphincter, thereby alleviating dysphagia and other symptoms of achalasia. Therapeutic procedures currently used for the effective treatment of achalasia of the esophagus are represented by laparoscopic Heller's myotomy and endoscopic balloon dilatation of the esophagus. According to the literature, Heller's myotomy is considered as a method of choice in children, since it provides more reliable results in comparison with pneumatic expansion during prolonged observation. Peroral endoscopic myotomy (POEM) is a new endoscopic method for the treatment of esophageal achalasia, first reported by P. Pasricha in experiment, and then H. Inoue performed this operation in adult patients. There are only a few studies on the use of POEM in children and adolescents. Existing studies have demonstrated the feasibility of this procedure in children, low level of complications and excellent results with short-term observation. Several studies have reported high efficacy in the use of POEM in children, ranging from 90% to 100%. Reports of the occurrence of complications after POEM in children are sporadic and are represented by the formation of subcutaneous emphysema, carboperitoneum, retroperitoneum and mediastinal emphysema. Obviously, detailed studies with longer observation are required before the role of POEM in the treatment of esophageal achalasia in children can be established. If preliminary results are confirmed, POEM can be a real alternative to Heller's myotomy in pediatric patients. This study is intended to explore the potential and safety of the use of POEM for the treatment of achalasia in children based on a review of existing data in the scientific literature.

scholarly journals Safety and efficacy of botulinum toxin injection therapy for esophageal achalasia in Japan

2015 ◽  
Vol 57 (3) ◽  
pp. 239-243 ◽  
Author(s):  
Daisuke Yamaguchi ◽  
Nanae Tsuruoka ◽  
Yasuhisa Sakata ◽  
Ryo Shimoda ◽  
Kazuma Fujimoto ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin Injection ◽  
Esophageal Achalasia ◽  
Injection Therapy ◽  
Safety And Efficacy

Prospective randomised comparison of dilation (high compliance balloon) VS. Botulinum toxin injection (BTX) in esophageal achalasia

1998 ◽  
Vol 114 ◽  
pp. A240-A241
Author(s):  
C Nebendahl ◽  
B Brand ◽  
T von Schrenck ◽  
U Matsui ◽  
F Thonke ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin Injection ◽  
Esophageal Achalasia ◽  
High Compliance

Botulinum toxin injection are effective in the long — term treatment of esophageal achalasia

2000 ◽  
Vol 32 ◽  
pp. A73
Author(s):  
V. D'Onofrio ◽  
N. Giardullo ◽  
L. Pasquale ◽  
A. Marasco ◽  
G. Iaquinto
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin Injection ◽  
Esophageal Achalasia ◽  
Term Treatment ◽  
Long Term Treatment
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