دورية أكاديمية

Laparoscopic Heller Myotomy with Dor Fundoplication: An Operation that has Withstood the Test of Time.

التفاصيل البيبلوغرافية
العنوان: Laparoscopic Heller Myotomy with Dor Fundoplication: An Operation that has Withstood the Test of Time.
المؤلفون: Orlow R; Department of Surgery, Federal University of São Paulo, São Paulo, Brazil., Herbella FA; Department of Surgery, Federal University of São Paulo, São Paulo, Brazil., Patti MG; Department of Surgery, University of Virginia, Charlottesville, VA, USA. Marco.patti@gmail.com.
المصدر: World journal of surgery [World J Surg] 2022 Jul; Vol. 46 (7), pp. 1531-1534. Date of Electronic Publication: 2022 May 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 7704052 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2323 (Electronic) Linking ISSN: 03642313 NLM ISO Abbreviation: World J Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2024- : [Hoboken, NJ] : Wiley
Original Publication: New York, Springer International.
مواضيع طبية MeSH: Esophageal Achalasia*/surgery , Heller Myotomy*/methods , Laparoscopy*/methods, Esophageal Sphincter, Lower/surgery ; Fundoplication/methods ; Humans ; Treatment Outcome
مستخلص: Background: Achalasia is a primary esophageal motility disorder characterized by aperistalsis and defective relaxation of the lower esophageal sphincter in response to swallowing. Patients' symptoms include dysphagia, regurgitation, weight loss, chest pain and aspiration. The disease is idiopathic, and the goal of treatment is to eliminate the resistance determined by the abnormal lower esophageal sphincter, therefore allowing passage of the ingested food from the esophagus into the stomach. Three effective treatment modalities are available today-pneumatic dilatation, peroral endoscopic myotomy, and laparoscopic Heller myotomy with a partial fundoplication.
Methods: We described the technique to perform a laparoscopic Heller myotomy and a Dor fundoplication.
Results: Five steps to perform a laparoscopic Heller myotomy and a Dor fundoplication were described.
Conclusions: The surgical approach is favored in many centers as it is very effective in relieving symptoms, while avoiding pathologic gastroesophageal reflux in most patients.
(© 2022. The Author(s) under exclusive licence to Société Internationale de Chirurgie.)
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تواريخ الأحداث: Date Created: 20220506 Date Completed: 20220609 Latest Revision: 20220803
رمز التحديث: 20221213
DOI: 10.1007/s00268-022-06580-3
PMID: 35523962
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-2323
DOI:10.1007/s00268-022-06580-3