| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1991;52:336-342
© 1991 The Society of Thoracic Surgeons
Section of Thoracic Surgery, Department of Surgery, The University of Chicago Hospitals, Chicago, Illinois, USA
* Address reprint requests to Dr Ferguson, Section of Thoracic Surgery, The University of Chicago Hospitals, Box 255, 5841 Maryland, Chicago, IL 60637.
The current evaluation of and therapy for achalasia are reviewed. Esophageal manometry remains the best means for diagnosing achalasia. Initial therapy can include either pneumatic dilation or esophagomyotomy. Symptomatic improvement occurs in 71% of patients after pneumatic dilation, with a risk of perforation of 1.4%. Eight percent of these patients require subsequent esophagomyotomy. Surgical procedures for achalasia can be performed through either an abdominal or a thoracic incision. Nearly all authors favoring an abdominal approach add an antireflux operation to esophagomyotomy, whereas many authors advocating a transthoracic esophagomyotomy believe that an antireflux wrap is unnecessary. Overall results for the various surgical approaches used as initial therapy are excellent, with symptomatic improvement in 89% of patients, a mortality rate of less than 1%, and development of gastroesophageal acid reflux in less than 10%. Factors governing the choice of initial therapy are discussed.
This article has been cited by other articles:
|
|
 |
|
  H. A. Gaissert, N. Lin, J. C. Wain, G. Fankhauser, C. D. Wright, and D. J. Mathisen Transthoracic Heller Myotomy for Esophageal Achalasia: Analysis of Long-Term Results Ann. Thorac. Surg., June 1, 2006; 81(6): 2044 - 2049. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. G. Patti, A. Tamburini, and C. A. Pellegrini Cardiomyotomy Surgical Innovation, December 1, 1999; 6(4): 186 - 193. [Abstract] [PDF]
|
|
|
|
 |
|
 R. J. Wiechmann, M. K. Ferguson, K. S. Naunheim, S. R. Hazelrigg, M. J. Mack, R. J. Aronoff, R. J. Weyant, T. Santucci, R. Macherey, and R. J. Landreneau VIDEO-ASSISTED SURGICAL MANAGEMENT OF ACHALASIA OF THE ESOPHAGUS J. Thorac. Cardiovasc. Surg., November 1, 1999; 118(5): 916 - 923. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. J. Graham, R. J. Finley, D. F. Worsley, S. R. Dong, J. C. Clifton, and C. Storseth Laparoscopic Esophageal Myotomy and Anterior Partial Fundoplication for the Treatment of Achalasia Ann. Thorac. Surg., September 1, 1997; 64(3): 785 - 789. [Abstract] [Full Text]
|
|
|
|
 |
|
 M. Anselmino, G. Perdikis, R. A. Hinder, P. V. Polishuk, P. Wilson, J. D. Terry, and S. J. Lanspa Heller Myotomy Is Superior to Dilatation for the Treatment of Early Achalasia Arch Surg, March 1, 1997; 132(3): 233 - 240. [Abstract] [PDF]
|
|
|
|
|
|
E. Cosentini, G. Berlakovich, J. Zacherl, G. Stacher-Janotta, R. Merio, E. Wenzl, H. Bergmann, and G. Stacher Achalasia: Results of Myotomy and Antireflux Operation After Failed Dilatations Arch Surg, February 1, 1997; 132(2): 143 - 147. [Abstract] [PDF]
|
|
|
|
|
|
M. K. Ferguson, L. B. Reeder, and J. Olak Results of Myotomy and Partial Fundoplication After Pneumatic Dilation for Achalasia Ann. Thorac. Surg., August 1, 1996; 62(2): 327 - 330. [Abstract] [Full Text]
|
|
|
|
|
|
M. G. Patti, C. A. Pellegrini, M. Arcerito, J. Tong, S. J. Mulvihill, and L. W. Way Comparison of Medical and Minimally Invasive Surgical Therapy for Primary Esophageal Motility Disorders Arch Surg, June 1, 1995; 130(6): 609 - 616. [Abstract] [PDF]
|
|
|
|
|
|
R. A. Malthaner, T. R. Todd, L. Miller, and F. G. Pearson Long-term results in surgically managed esophageal achalasia Ann. Thorac. Surg., November 1, 1994; 58(5): 1343 - 1347. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
