Pioneer Robotic Serra-Doria Operation for Recurrent Achalasia After Heller's Cardiomyotomy: A “New Quondam” Procedure

2017 ◽  
Vol 27 (5) ◽  
pp. 524-528 ◽  
Author(s):  
Bruno Zilberstein ◽  
Maurice Youssef Franciss ◽  
Aletheia Genovesi ◽  
Paula Volpe ◽  
Carlos Eduardo Domene ◽  
...  
Keyword(s):  
Recurrent Achalasia

ID: 3523846 LONG TERM OUTCOMES OF REDO POEMS IN PATIENTS WITH REFRACTORY OR RECURRENT ACHALASIA: A SINGLE CENTER EXPERIENCE

2021 ◽  
Vol 93 (6) ◽  
pp. AB297-AB298
Author(s):  
Lucie F. Calderon ◽  
Hima Veeramachaneni ◽  
Salih Samo ◽  
Ahmed A. Messallam ◽  
Rushikesh Shah ◽  
...  
Keyword(s):  
Single Center ◽  
Long Term Outcomes ◽  
Single Center Experience ◽  
Recurrent Achalasia

scholarly journals P-251PER ORAL ENDOSCOPIC MYOTOMY IS AN ACCEPTABLE INTERVENTION FOR A RECURRENT ACHALASIA AFTER FAILED HELLER MYOTOMY

2016 ◽  
Vol 23 (suppl 1) ◽  
pp. i66.4-i67
Author(s):  
Evgeny V. Arshava ◽  
I.V. Chesnokova ◽  
R.J. Marchigiani ◽  
H. Gerke ◽  
R. El Abiad ◽  
...  
Keyword(s):  
Heller Myotomy ◽  
Recurrent Achalasia ◽  
Endoscopic Myotomy

P69 INTRAOPERATIVE ENDOSCOPY IS OF A GREAT IMPORTANCE IN COMPLEX REVISIONAL UPPER GI SURGERY. CASE PRESENTATION OF RECURRENT ACHALASIA PREVIOUSLY TREATED WITH 3 LAPAROSCOPIC HELLERS CARDIOMYOTOMIES.

2019 ◽  
Vol 32 (Supplement_2) ◽  
Author(s):  
Gavriella-Zoi Vrakopoulou ◽  
Foley Daniel ◽  
Smyth Edel ◽  
Botha Abraham
Keyword(s):  
Minimally Invasive ◽  
Imaging System ◽  
Revisional Surgery ◽  
Previous Treatment ◽  
Flexible Endoscopy ◽  
Substantial Improvement ◽  
Intraoperative Endoscopy ◽  
Video Footage ◽  
Recurrent Achalasia ◽  
Previously Treated

Abstract Aim To demonstrate the ability to perform increasingly complex revisional surgery utilising minimally invasive techniques and synchronous endoscopy for recurrent achalasia. Background & Methods We present a case of recurrent achalasia previously treated with 3 laparoscopic Hellers cardiomyotomies. Traditionally such a case would be considered for either open revisional surgery or oesophagectomy. In this case a fourth laparoscopic Hellers cardiomyotomy was succesfully performed using 3D laparoscopy combined with synchronous intraoperative endoscopy. The 3D video footage we present demonstrates the added safety provided by depth perception and high resolution imaging in revisional laparoscopic surgery. Synchronous endoscopy confirms altered anatomy, pathology and luminal change from extraluminal interventions resulting in prompt recognition of LES and subsequent efficient gastric myotomy. Results After a laborious adhesiolysis using the advantages of 3D imaging system we faced difficulties recognizing the exact LES location, in order to proceed with the gastric myotomy. In our opinion this could be the reason for previous treatment failures. At this point the use of synchronous flexible endoscopy enabled the recognition of cardia, so we could safely and efficiently complete a fourth laparoscopic Hellers cardiomyotomy including repair of a distal oesophageal diverticulum and a substantially lengthened gastric myotomy. This resulted in a substantial improvement in dysphagia symptoms with the patient resuming consumption of liquid and solid food as well. Conclusion Early adoption of technological advancements facilitates organ preserving revisional surgery and the avoidance of significant patient morbidity. These techniques radically increase the safety profile of minimally invasive surgery by facilitating anatomic recognition and provisioning for tailored intervention.

scholarly journals Recurrent Achalasia after Surgical Treatment

2020 ◽  
Vol 88 (6) ◽  
pp. 1327-1332
Author(s):  
AHMED MONIER, M.D.; ALI SALEM, M.D. ◽  
MOSTAFA ABU ZIED, M.D.; AMR SANAD, M.B.B.Ch. ◽  
MOHAMED DOSOKY, M.D.
Keyword(s):  
Surgical Treatment ◽  
Recurrent Achalasia

Esophagogastro-Roux-en-Y Jejunostomy: A Surgical Option in Recurrent Achalasia? Case Report and Review of the Literature

2007 ◽  
Vol 73 (9) ◽  
pp. 930-933
Author(s):  
Paul E. Roa ◽  
Mark E. Sesto
Keyword(s):  
Case Report ◽  
Challenging Problem ◽  
Review Of The Literature ◽  
Recurrent Achalasia ◽  
Initial Procedure ◽  
History Of ◽  
Progressive Dysphagia ◽  
Surgical Option

Recurrent obstructive symptoms after cardiomyotomy for achalasia occur in approximately 10 per cent to 15 per cent of patients, but only some require reoperation. Reoperative procedures for achalasia vary, and in general, have less success in relieving symptoms than the initial procedure. We present the case of a 37-year-old male with a 15-year history of recurrent achalasia, with symptoms of heartburn and progressive dysphagia after meals. He underwent several esophageal dilatations, botox injections, and two transthoracic Heller myotomies before the transabdominal esophagogastro-Roux-en-Y jejunostomy was performed. This case represents another surgical option for management of the challenging problem of recurrent achalasia.

Resection of the Gastroesophageal Junction and Roux-en-Y Reconstruction as a New Alternative for the Treatment of Recurrent Achalasia: Outcomes in a Short Series of Patients

2020 ◽  
Vol 30 (2) ◽  
pp. 121-126
Author(s):  
Javier Ithurralde-Argerich ◽  
Federico Cuenca-Abente ◽  
Alejandro Faerberg ◽  
Laura Rosner ◽  
Camilo Duque-Seguro ◽  
...  
Keyword(s):  
Gastroesophageal Junction ◽  
Short Series ◽  
Recurrent Achalasia
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