Surgical management of achalasia

ABSTRACT

This study include 25 patients of achalasia in Aleppo university hospital and other hospitals during 4 years [2002-2006] and the results of our study are The Percentage of female was 60% and male was 40% and The most frequent age group were second decade the female were most affected in our study and the commonest presentation was dysphagia 68%; vomiting 52%; respiratory problem 32%; weight loss 20% and the commonest preoperative investigation was upper Radiology 100% and non patient underwent treatment before surgery. The abdominal incision was a most commonly used 100% but The laparoscopic surgery was not use. Heller myotomy was the elective procedure in our study 92% and the esophagectomy was only 8%. The fundplication after Heller myotomy with dor fudplication was 36% toupete fundiplication was 32% nissen was 24%. The main complication at surgery was oesophageal perforation in 20% the injury of spleen was 8% and the most common complication after surgery was recurrence of dysphagia and regurgitation 8% for every one. The drain was put in 20% of patient. Drawing the drain was in first and second day. Discharge of patient at 2[nd] day 52% and 3rd was 40%