HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Search for Related Content Related Collections Related Article

Ann Thorac Surg 1997;64:789
© 1997 The Society of Thoracic Surgeons

---

Discussion

Discussion

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

See also page 785.

DR GLENN E. SISLER (New Brunswick, NJ): I really appreciated this study because we have been working very hard on achalasia by the video-assisted thoracic surgical (VATS) technique. We are very pleased with our results using VATS. We do not perform an antireflux procedure. In reviewing the literature, there is a great disparity of opinion regarding the use of antireflux procedures. We believe that by going through the chest, limiting the amount of disruption to the pharyngoesophageal area, and, particularly, having an endoscopist simultaneously view the esophagus, we can limit the amount of myotomy onto the stomach and, hopefully, limit the amount of reflux produced. Only time will tell. The patients who achieve good to excellent results early (ie, for 5 to 10 years) often revert to having dysphagia later. The question . . . [Full Text of this Article]

Related Article

Laparoscopic Esophageal Myotomy and Anterior Partial Fundoplication for the Treatment of Achalasia

Andrew J. Graham, Richard J. Finley, Daniel F. Worsley, Sunny R. Dong, Joanne C. Clifton, and Carol Storseth
Ann. Thorac. Surg. 1997 64: 785-789. [Abstract] [Full Text]