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
Artigo
em Espanhol
| LILACS
| ID: lil-301905
Biblioteca responsável:
CL1.1
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
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doenças do Sistema Digestório
Base de dados:
LILACS
Assunto principal:
Acalasia Esofágica
/
Laparoscopia
/
Cirurgia Vídeoassistida
Limite:
Adolescente
/
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2001
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Universidad de Chile/CL