Journal article
Laparoscopic Heller Myotomy as the Gold Standard for Treatment of Achalasia
Journal of gastrointestinal surgery, Vol.18(12), pp.2201-2207
12/2014
DOI: 10.1007/s11605-014-2655-5
PMID: 25205539
Abstract
The recent introductions of novel methods for the treatment of achalasia as well as ongoing controversies about the merits of surgical and endoscopic treatment options have created controversy in identifying the optimal treatment for this condition. This lack of clarity prompted this review of 206 consecutive patients treated with a laparoscopic Heller (LH) myotomy over a 16-year period.A retrospective review of a prospectively collected database was performed of 206 consecutive LH performed by a single surgeon.In this cohort, 58 % of patients had undergone a prior therapeutic intervention. Over 90 % of patients had relief of dysphagia post-operatively. There was one intraoperative esophageal perforation. There were no mortalities. Only 4/206 patients sustained complications that required either post-op therapeutic intervention or delayed hospital discharge.This paper outlines an operative technique that has yielded outstanding results and may be used as a benchmark against which other therapies can be judged.
Details
- Title: Subtitle
- Laparoscopic Heller Myotomy as the Gold Standard for Treatment of Achalasia
- Creators
- Peter Nau - Department of Surgery Massachusetts General Hospital WACC-460 15 Parkman St Boston MA 02114-3117 USADavid Rattner - Department of Surgery Massachusetts General Hospital WACC-460 15 Parkman St Boston MA 02114-3117 USA
- Resource Type
- Journal article
- Publication Details
- Journal of gastrointestinal surgery, Vol.18(12), pp.2201-2207
- Publisher
- Springer US; Boston
- DOI
- 10.1007/s11605-014-2655-5
- PMID
- 25205539
- ISSN
- 1091-255X
- eISSN
- 1873-4626
- Language
- English
- Date published
- 12/2014
- Academic Unit
- Surgery
- Record Identifier
- 9984051557402771
Metrics
14 Record Views