Current results of surgery for achalasia of the cardia.
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TLDR
Of a recent series of 14 children, 12 were treated by a modified Heller's myotomy combined with a floppy Nissen fundoplication, results support a primary surgical approach to the management of achalasia in children.Abstract:
Several treatment options are available in the management of achalasia of the cardia. Of a recent series of 14 children, 12 were treated by a modified Heller's myotomy combined with a floppy Nissen fundoplication. Symptoms were dramatically improved in nine during a mean follow up period of 3.9 years. Recurrent oesophageal pain was the most resistant symptom and continued to be moderately severe in three patients, two of whom obtained temporary relief by oesophageal balloon dilatation. Two patients treated by pneumatic dilatation alone have residual symptoms. These results support a primary surgical approach to the management of achalasia in children.read more
Citations
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Journal ArticleDOI
Laparoscopic Heller myotomy and Dor fundoplication for esophageal achalasia in children.
Marco G. Patti,Craig T. Albanese,George W. Holcomb,Daniela Molena,Piero M. Fisichella,Silvana Perretta,Lawrence W. Way +6 more
TL;DR: Data support the notion that laparoscopic Heller myotomy should become the primary treatment of esophageal achalasia in children.
Journal ArticleDOI
A single center 26-year experience with treatment of esophageal achalasia: is there an optimal method?
TL;DR: A clear transition to and preference for laparoscopic approach has occurred in the treatment of achalasia in children, and both dilatation and myotomy are effective immediate treatment.
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Laparoscopic and thoracoscopic esophagomyotomy for children with achalasia
Mandeep R. Mehra,Ron Bahar,Marvin E. Ament,John A. Waldhausen,G. Gershman,K. Georgeson,Victor L. Fox,Steven J. Fishman,Steven L. Werlin,Thomas T. Sato,Ivor D. Hill,Vasundhara Tolia,James B. Atkinson +12 more
TL;DR: Minimally invasive esophagomyotomy can provide excellent symptomatic relief from dysphagia and regurgitation for children with achalasia.
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Esophageal function in achalasia: Preoperative and postoperative manometric studies
TL;DR: Ambulatory manometry results confirmed a reduced number of motor events even during meals and only insignificant improvement of progressiveness, completeness and amplitude of waves after myotomy irrespective of the time elapsed since the procedure, the degree of recovery of esophageal caliber, and the clinical outcome.
References
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Familial glucocorticoid deficiency with achalasia of the cardia and deficient tear production.
TL;DR: Isolated glucocorticoid failure associated with achalasia of the cardia is described in two pairs of siblings in separate families, which probably represents a familial disorder of as yet unknown aetiology.
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Treatment of achalasia and related motor disorders
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Motor disorders of the esophagus.
TL;DR: Recent progress in the classification, pathophysiology and treatment of the major esophageal motor disorders is presented in this review.
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Esophageal resection for achalasia: Indications and results☆
TL;DR: It is concluded that Esophagectomy provides the most reliable treatment of esophageal obstruction, pulmonary complications, and potential late development of carcinoma in the patient with a megaesophagus of achalasia or a failed prior esophagomyotomy and that it is a far better option in these patients than esophgomyotomy, cardioplasty procedures, or limited esphageal resection.