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Gordon F. Murray
James W. Battaglini
Benson R. Wilcox
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Ann Thorac Surg 1984;37:185-188
© 1984 The Society of Thoracic Surgeons


Articles

Selective Application of Fundoplication in Achalasia

Gordon F. Murray, M.D.*, James W. Battaglini, M.D., Blair A. Keagy, M.D., Peter J.K. Starek, M.D., Benson R. Wilcox, M.D.

From the Division of Cardiothoracic Surgery, University of North Carolina School of Medicine, Chapel Hill, NC

Accepted for publication May 24, 1983.

* Address reprint requests to Dr. Murray, Division of Cardiothoracic Surgery, 108 Burnett-Womack Bldg 229H, Chapel Hill, NC 27514

Although esophagomyotomy alone may effectively relieve dysphagia in patients with achalasia, utilization of a complementary fundoplication procedure should be considered for selected patients. Fundoplication is a sensible addition to myotomy in circumstances that suggest high risk for the development of reflux esophagitis. Also, in complicated achalasia, relief of esophageal obstruction by simple myotomy may not be achieved safely. Identification of those pathological features associated with achalasia that merit consideration of fundoplication should improve operative results and reduce morbidity. This paper examines the application of a complementary fundoplication procedure in the operative management of 21 patients with achalasia over a ten-year period.




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