Laparoscopic Treatment of Recurrent Dysphagia Following Transthoracic Myotomy for Achalasia

Thomas N. Robinson, Carlos A Galvani, Sanjoy K. Dutta, Maria V. Gorodner, Marco G. Patti

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18 Scopus citations

Abstract

Background: The choice of treatment of recurrent dysphagia following transthoracic myotomy is unclear. Often pneumatic dilatation is tried first, followed by esophagectomy in case of failure. We propose laparoscopic Heller myotomy as an alternative treatment for this group of patients. Methods: Three patients underwent laparoscopic Heller myotomy for the treatment of recurrent dysphagia following transthoracic myotomy. The patients had undergone an average of 7 pneumatic dilatations (range, 2 to 10) prior to referral for surgery, without resolution of their dysphagia. Results: All patients successfully underwent a laparoscopic myotomy on the right side of the esophagus with a Dor fundoplication. Good or excellent results were achieved in all patients. Average followup was 18 months. Conclusions: Laparoscopic Heller myotomy is a very effective treatment for patients who experience recurrent dysphagia following a transthoracic myotomy.

Original languageEnglish (US)
Pages (from-to)401-403
Number of pages3
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume13
Issue number6
Publication statusPublished - 2003
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery

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