Resultados preliminares de la esofagomiotomía por video laparoscopia en pacientes con acalasia esofágica / Laparoscopic esophagomyotomy for achalasia: preliminary results in 19 patients
Rev. méd. Chile
;
129(10): 1142-1146, oct. 2001. tab
Article
in Spanish
| LILACS
| ID: lil-301905
ABSTRACT
Background:
Laparoscopic esophagomyotomy is becoming a good alternative to pneumatic dilatation, injection of botulinic toxin or classical surgery in the treatment of achalasia.Aim:
To report the results of laparoscopic esophagomyotomy in patients with achalasia. Patients andmethods:
Nineteen patients with achalasia, nine women, aged 9 to 66 years old, operated between 1996 and 2001 are reported.Results:
There was no surgical mortality. One patient had a subphrenic abscess due to an unnoticed tear of the esophageal mucosa. During surgery, esophageal mucosa was perforated in 4 patients, that was sutured in three. One patient with an extensive tear of the mucosa required conversion to classical surgery. Patients were followed for 2 to 48 months. Radiological controls showed a significant increase in the diameter of gastroesophageal junction and a diameter reduction of the mid third esophageal segment. Lower esophageal pressure was significantly reduced. All patients experienced a weight increase and reduction of dysphagia.Conclusions:
Laparoscopic esophagomyotomy is a safe an effective therapeutic alternative for achalasia
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Esophageal Achalasia
/
Laparoscopy
/
Video-Assisted Surgery
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2001
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Universidad de Chile/CL
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