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Ann Thorac Surg 2006;81:2049
© 2006 The Society of Thoracic Surgeons

Original article: General thoracic

Invited commentary

Richard F. Heitmiller, MD

Department of Surgery, Union Memorial Hospital, Suite 610, JPB 3333 N Calvert St, Baltimore, MD 21218-2895

(Email: richard.heitmiller@medstar.net).

The first 20% of the full text of this article appears below.

The article by Gaissert and colleagues [1] represents a large series of patients treated by a very experienced group during 4 decades. The authors show that post-esophagomyotomy results are excellent in 91% of patients early after surgery, and that this outcome deteriorates to 61% of patients with long-term follow-up. Early postoperative dysphagia predicts late failure. The addition of fundoplication is not a significant predictor of outcome in their analysis. Finally, sigmoid esophagus is not an independent predictor of failure after esophagomyotomy. Therefore, esophagomyotomy, . . . [Full Text of this Article]


Related Article

Transthoracic Heller Myotomy for Esophageal Achalasia: Analysis of Long-Term Results
Henning A. Gaissert, Ning Lin, John C. Wain, Grant Fankhauser, Cameron D. Wright, and Douglas J. Mathisen
Ann. Thorac. Surg. 2006 81: 2044-2049. [Abstract] [Full Text] [PDF]





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