Pneumatic dilation versus laparoscopic Heller myotomy for the treatment of achalasia: variables related to a good response

2013 ◽  
Vol 27 (1) ◽  
pp. 18-23 ◽  
Author(s):  
A. A. Borges ◽  
E. M. de O. Lemme ◽  
L. J. Abrahao ◽  
D. Madureira ◽  
M. S. Andrade ◽  
...  
Keyword(s):  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Pneumatic Dilation

Mo1874 Long-Term Results of the European Achalasia Trial: Pneumatic Dilation Versus Laparoscopic Heller Myotomy

2014 ◽  
Vol 146 (5) ◽  
pp. S-678 ◽  
Author(s):  
Moonen An ◽  
Vito Annese ◽  
Albert J. Bredenoord ◽  
Stanislas Bruley des Varannes ◽  
Olivier R. Busch ◽  
...  
Keyword(s):  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Long Term Results ◽  
Pneumatic Dilation

THE SURGICAL TREATMENT OF ACHALASIA ON LAPAROSCOPIC HELLER MYOTOMY WITH DOR ANTIREFLUX PROCEDURE AT HUE CENTRAL HOSPITAL

2020 ◽  
pp. 97-102
Author(s):  
Dung Phan Dinh Tuan ◽  
Hung Dang Ngoc ◽  
Loc Le
Keyword(s):  
Heller Myotomy ◽  
Clinical Symptoms ◽  
Laparoscopic Heller Myotomy ◽  
Antireflux Procedure ◽  
Pneumatic Dilation ◽  
Motor Disorder ◽  
Eckardt Score ◽  
Esophageal Sphincter ◽  
Prospective Analyses

Background: Achalasia is a primary motor disorder of the esophagus characterized by insufficient lower esophageal sphincter relaxation and loss of esophageal peristalsis. Diagnosis is confirmed by clinical symptoms, endoscopic, radiographic and manometric. Although pneumatic dilation has a role in the treatment of achalasia, laparoscopic Heller myotomy is considered by many experts as the best treatment modality for most patients with newly diagnosed achalasia. Objective: To evaluate the efficacy and safety of laparoscopic Heller myotomy with Dor antireflux procedure. Patients and Methods: Prospective analyses of the patients of achalasia undergoing laparoscopic Heller myotomy with Dor antireflux procedure from 01/2012 to 06/2020. We evaluated the data according to outcome measures, characteristics and treatment results of achalasia after laparoscopic Heller myotomy with Dor antireflux procedure. Results: We found 11 patients with achalasia were diagnosed and treated by laparoscopic. 100% of the patients have dysphagia, weight loss; 81.8% have chest pain and regurgitation. Mean operative duration was 148 ± 21 minutes. There was no complications had found in our patients. Follow-up after 3 - 6 months by Eckardt score show that 90.9% had a good result, 01 patient with persistent symtomps (Eckardt score > 3) had to undergo a pneumatic dilation. Conclusion: The results of the laparoscopic Heller myotomy with Dor antireflux procedure were safe and effective. Keywwords: Achalasia, laparoscopic Heller myotomy, Dor antireflux procedure

scholarly journals Surgical Treatment for Achalasia of the Esophagus: Laparoscopic Heller Myotomy

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Gonzalo Torres-Villalobos ◽  
Luis Alfonso Martin-del-Campo
Keyword(s):  
Weight Loss ◽  
Surgical Treatment ◽  
Esophageal Manometry ◽  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Motility Disorder ◽  
Pneumatic Dilation ◽  
Newly Diagnosed ◽  
Robot Assisted ◽  
Esophageal Motility Disorder

Achalasia is an esophageal motility disorder that leads to dysphagia, chest pain, and weight loss. Its diagnosis is clinically suspected and is confirmed with esophageal manometry. Although pneumatic dilation has a role in the treatment of patients with achalasia, laparoscopic Heller myotomy is considered by many experts as the best treatment modality for most patients with newly diagnosed achalasia. This review will focus on the surgical treatment of achalasia, with special emphasis on laparoscopic Heller myotomy. We will also present a brief discussion of the evaluation of patients with persistent or recurrent symptoms after surgical treatment for achalasia and emerging technologies such as LESS, robot-assisted myotomy, and POEM.

scholarly journals Comparison of treatment outcomes of endoscope-guided pneumatic dilation and laparoscopic Heller myotomy

2015 ◽  
Vol 31 (12) ◽  
pp. 639-643 ◽  
Author(s):  
Hsin-Ming Wang ◽  
Wei-Chen Tai ◽  
Seng-Kee Chuah ◽  
Hung-I Lu ◽  
Lung-Sheng Lu ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Pneumatic Dilation

scholarly journals Diagnostics and Minimally Invasive Surgery for Achalasia Cardia

2018 ◽  
Vol 25 (4) ◽  
Author(s):  
Vadim Ratchik ◽  
Oleksandr Babii ◽  
Natalia Prolom ◽  
Boris Shevchenko
Keyword(s):  
Heller Myotomy ◽  
Disease Duration ◽  
Balloon Dilation ◽  
Laparoscopic Heller Myotomy ◽  
Group Iv ◽  
Pneumatic Dilation ◽  
Achalasia Cardia ◽  
Group Iii ◽  
Group I ◽  
Pneumatic Balloon Dilation

The objective of the research was to assess the effectiveness of balloon pneumatic dilation and laparoscopic Heller myotomy in treatment of patients with achalasia cardia. Materials and methods. Twenty-one patients with achalasia cardia were examined and treated using pneumatic balloon dilation and laparoscopic Heller myotomy in the Department of Surgery from January 2016 to April 2018. There were 8 (38.1%) men and 13 (61.9%) women at the age of 28 to 75 years (the average age was (51.47 ± 3.63) years) and disease duration of 1 month to 8 years (the average disease duration was (3.05 ± 0.49) years).             Results and discussion. With the help of radiological methods of examination, all the patients were divided into 4 groups according to the esophageal diameter: Group I included 5 (23.8%) patients with the esophagus up to 4-5 cm in diameter; Group II comprised 6 (28.6%) patients with the esophagus up to 4-6 cm in diameter; Group III included 5 (23.8%) patients with the esophagus up to 6-8 cm in diameter; Group IV consisted of 5 (23.8%) patients with the esophagus of more than 8 cm in diameter and an S-shaped configuration. A significant decrease in the diameter of the esophagus according to fluoroscopy (p<0.05) alongside with a decrease in the lower esophageal sphincter pressure according to manometry are indicative in assessing the effectiveness of achalasia cardia treatment after minimally invasive surgery. There were no complications when performing pneumatic balloon dilation and laparoscopic Heller myotomy.             Conclusions. In 7 (33.3%) patients, recurrences of achalasia cardia after balloon pneumatic dilation occurred within 2 - 10 months: in 4.7% of patients in Group I and 9.5% of patients in Group II, Group III, and Group IV. In recurrent achalasia cardia, repeated dilation was ineffective. There was performed laparoscopic Heller myotomy with Dor fundoplication, which was effective in 80.0% of cases.

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