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The Annals of Thoracic Surgery, Vol 35, 249-252, Copyright © 1983 by The Society of Thoracic Surgeons
YX Yu
Results with the use of a diaphragmatic graft in the surgical relief of
achalasia are reported for 44 patients. The operative technique involves
construction of a pedicle flap of diaphragm the size of the muscular defect
on the lower segment of the esophagus and suture of the transplanted
diaphragmatic pedicle to the site of the esophageal muscular defect.
Immediate operative results were good; there was only one complication, a
case of pneumonia that was cured. Patients were followed from 3 months to
19 years. Two patients were lost to follow- up. Excellent results were
obtained in 39 patients; 3 patients still had nausea and heartburn, but
were better than before operation. This procedure has three advantages: (1)
it prevents occurrence of fistula and diverticulum at the site of the
esophageal muscular defect; (2) it effectively eliminates formation of
restenosis due to scar and reflux esophagitis; and (3) it allows the cardia
to recover its normal function and the esophagus to return to normal size
at the site of operation.
ARTICLES
Treatment of esophageal achalasia (cardiospasm) with diaphragmatic graft: report of 44 patients
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