Treatment of Achalasia with Extreme Megaesophagus: Heller Myotomy or Esophagectomy?

In our opinion, laparoscopic Heller myotomy is an optimal treatment for achalasia with extreme megaesophagus, relieving the obstruction of the esophagus and the compression of mediastinal strictures. [...] we believe that laparoscopic Heller myotomy should be the first option for the treatment of se...

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Veröffentlicht in:The American surgeon 2011-03, Vol.77 (3), p.362-364
Hauptverfasser: D'ANGELO, Francesco, PETRUCCIANI, Niccolò, AURELLO, Paolo, NIGRI, Giuseppe R, ROMANO, Camilla, ANTOLINO, Laura, RAVAIOLI, Matteo, RAMACCIATO, Giovanni
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Sprache:eng
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Zusammenfassung:In our opinion, laparoscopic Heller myotomy is an optimal treatment for achalasia with extreme megaesophagus, relieving the obstruction of the esophagus and the compression of mediastinal strictures. [...] we believe that laparoscopic Heller myotomy should be the first option for the treatment of severe achalasia, and esophagectomy should be reserved only for patients who already underwent a myotomy without relief of symptoms.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481107700332