Laparoscopic Heller's cardiomyotomy without an antireflux procedure-Reference-Cited by-同舟云学术

Laparoscopic Heller's cardiomyotomy without an antireflux procedure

Published:1995-07 Issue:7 Volume:82 Page:957-959
ISSN:0007-1323
Container-title:British Journal of Surgery
language:en
Short-container-title:

Author:

Robertson G S M¹,Lloyd D M¹,Wicks A C B²³,De Caestecker J²⁴,Veitch P S³

Affiliation:

1. Department of Surgery, Leicester Royal Infirmary, UK

2. Department of Surgery, Gastroenterology, Leicester, UK

3. Department of Surgery, Leicester General Hospital, UK

4. Department of Surgery, Glenfield General Hospital, UK

Abstract

Abstract The treatment of achalasia by laparoscopic Heller's cardiomyotomy may combine the minimally invasive advantages of pneumatic dilatation with the success rate and low risk of perforation of conventional surgery. The requirement for an antireflux procedure remains a contentious issue, as in conventional surgery. Nine patients underwent laparoscopic cardiomyotomy; excellent symptomatic relief was obtained in eight at follow-up between 12 and 21 months after operation. Four of these patients agreed to 24-h pH monitoring and showed no evidence of acid reflux. One patient, however, developed recurrent symptoms associated with significant acidityi on monitoring. Laparoscopic Heller's cardiomyotomy without an antireflux procedure produced effective symptomatic relief in this small group of patients.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Link

http://academic.oup.com/bjs/article-pdf/82/7/957/36814501/bjs1800820733.pdf

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