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Recurrent achalasia after Heller-Toupet procedure: Laparoscopic extended redo heller myotomy and floppy Dor.

Golash V - J Minim Access Surg (2007)

Bottom Line: These recurrences can be managed by regular dilation failing which a redo surgery is indicated.Laparoscopic approach is now standard because of the obvious benefits for patients and surgeons.Patient is asymptomatic six months after the surgery and radiologically there is free passage of barium in the stomach.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Sultan Qaboos Hospital, P.O. Box: 98, Salalah, 211, Sultanate of Oman.

ABSTRACT
Recurrences of symptoms after the surgery for achalasia cardia are not uncommon. There are several causes of recurrences but the early recurrences are speculated to be secondary to incomplete myotomy and late recurrence due to fibrosis after the myotomy or megaesophagus. These recurrences can be managed by regular dilation failing which a redo surgery is indicated. Laparoscopic approach is now standard because of the obvious benefits for patients and surgeons. Extent of myotomy and addition of fundoplication are debatable issue in the management of achalasia cardia but evidence suggests that some kind of fundoplication would be necessary after the complete division of lower esophageal sphincter. We present our experience in a case of recurrent achalasia, secondary to incomplete myotomy managed laparoscopically by extended myotomy and a floppy anterior fundoplication. Patient is asymptomatic six months after the surgery and radiologically there is free passage of barium in the stomach.

No MeSH data available.


Related in: MedlinePlus

Barium meal
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Figure 0002: Barium meal

Mentions: Barium meal: A persistent bird's beak image of cardia with a dilated sigmoid esophagus [Figure 1B].


Recurrent achalasia after Heller-Toupet procedure: Laparoscopic extended redo heller myotomy and floppy Dor.

Golash V - J Minim Access Surg (2007)

Barium meal
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2749184&req=5

Figure 0002: Barium meal
Mentions: Barium meal: A persistent bird's beak image of cardia with a dilated sigmoid esophagus [Figure 1B].

Bottom Line: These recurrences can be managed by regular dilation failing which a redo surgery is indicated.Laparoscopic approach is now standard because of the obvious benefits for patients and surgeons.Patient is asymptomatic six months after the surgery and radiologically there is free passage of barium in the stomach.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Sultan Qaboos Hospital, P.O. Box: 98, Salalah, 211, Sultanate of Oman.

ABSTRACT
Recurrences of symptoms after the surgery for achalasia cardia are not uncommon. There are several causes of recurrences but the early recurrences are speculated to be secondary to incomplete myotomy and late recurrence due to fibrosis after the myotomy or megaesophagus. These recurrences can be managed by regular dilation failing which a redo surgery is indicated. Laparoscopic approach is now standard because of the obvious benefits for patients and surgeons. Extent of myotomy and addition of fundoplication are debatable issue in the management of achalasia cardia but evidence suggests that some kind of fundoplication would be necessary after the complete division of lower esophageal sphincter. We present our experience in a case of recurrent achalasia, secondary to incomplete myotomy managed laparoscopically by extended myotomy and a floppy anterior fundoplication. Patient is asymptomatic six months after the surgery and radiologically there is free passage of barium in the stomach.

No MeSH data available.


Related in: MedlinePlus