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Ann Thorac Surg 1983;35:249-252
© 1983 The Society of Thoracic Surgeons

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Articles

Treatment of Esophageal Achalasia (Cardiospasm) with Diaphragmatic Graft: Report of 44 Patients

From the Department of Thoracic Surgery, Teaching Hospital, Jing Zhou Medical College, Jing Zhou Liaoning, China

Accepted for publication June 24, 1982.

	Abstract

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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.

	References

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1. Tanaka T, et al. The operation for achalasia of the esophagus Jpn J Operation 1972;26:131.
2. Acheson ED, Hadley GD. Cardiomyotomy for achalasia of the cardia Br Med J 1958;1:549.[Free Full Text]
3. Wu Ying-kai, et al. Surgery of the Chest. Beijing: Beijing People's Health Publishing House; 1974. pp. 504.
4. Nemir Jr P, Frobese AS. The modified Heller operation for achalasia of the esophagus Surg Clin N Am 1962;42:1407.[Medline]
5. Atkin M. The esophago-gastric sphincter after cardiomyotomy Thorax 1959;14:125.[Free Full Text]
6. Huang Guo-jun, et al. Evaluation of results of treatment of cardiospasm with Heller's operation Chin J Surg 1965;13:536.
7. Frobese AS, et al. Reflection on the surgical management of achalasia of the esophagus Am J Surg 1960;107:249.
8. Tian Xiu-chun. Esophagocardiomyotomy with esophagofundopexy for achalasia of the esophagus Jpn J Operation 1978;32:903.
9. Arimori M, et al. Follow-up results of Petrovsky's operation for achalasia of the esophagus Jpn J Clin Surg 1972;34:373.

This article has been cited by other articles:

				P. Goldstraw and X. Jiao Pericardial Repair After Extensive Resection: Another Use for the Pedicled Diaphragmatic Flap Ann. Thorac. Surg., April 1, 1996; 61(4): 1112 - 1114. [Abstract] [Full Text]

This Article Abstract Full Text (PDF) 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 Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Yong-xian, Y. Search for Related Content PubMed PubMed Citation Articles by Yong-xian, Y.