Laparoscopic heller myotomy and fundoplication in patients with chagas disease achalasia and massively dilated esophagus

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dc.contributor.authorPantanali, Carlos A. R.
dc.contributor.authorHerbella, Fernando A. M.
dc.contributor.authorHenry, Maria A.
dc.contributor.authorFarah, Jose Francisco Mattos
dc.contributor.authorPatti, Marco G.
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionSão Paulo Francisco Morato de Oliveira
dc.contributor.institutionUniversity of Chicago
dc.date.accessioned2022-04-29T08:44:32Z
dc.date.available2022-04-29T08:44:32Z
dc.date.issued2013-01-01
dc.description.abstractLaparoscopic Heller myotomy and fundoplication is considered today the treatment of choice for achalasia. The optimal treatment for end-stage achalasia with esophageal dilation is still controversial. This multicenter and retrospective study aims to evaluate the outcome of laparoscopic Heller myotomy in patients with a massively dilated esophagus. Eleven patients (mean age, 56 years; 6 men) with massively dilated esophagus (esophageal diameter greater than 10 cm) underwent a laparoscopic Heller myotomy and anterior fundoplication between 2000 and 2009 at three different institutions. Preoperative workup included upper endoscopy, esophagram, and esophageal manometry in all patients. Average follow-up was 31.5 months (range, 3 to 60 months). Two patients (18%) had severe dysphagia, four patients (36%) had mild and occasional dysphagia to solid food, and five patients (45%) were asymptomatic. All patients gained or kept body weight, except for the two patients with severe dysphagia. Of the two patients with severe dysphagia, one underwent esophageal dilatation and the other a laparoscopic esophagectomy. They are both doing well. Heller myotomy relieves dysphagia in the majority of patients even when the esophagus is massively dilated. Copyright Southeastern Surgical Congress. All rights reserved.en
dc.description.affiliationDepartment of Surgery Escola Paulista de Medicina Federal University of São Paulo, Rua Diogo de Faria 1087 cj 301, São Paulo, SP, 04037-003
dc.description.affiliationDepartment of Surgery and Orthopedics State University of São Paulo, Botucatu, SP
dc.description.affiliationDepartment of Surgery Hospital do Servidor Pu blico Estadual São Paulo Francisco Morato de Oliveira, São Paulo, SP
dc.description.affiliationDepartment of Surgery University of Chicago, Chicago, IL
dc.format.extent72-75
dc.identifier.citationAmerican Surgeon, v. 79, n. 1, p. 72-75, 2013.
dc.identifier.issn0003-1348
dc.identifier.scopus2-s2.0-84875079401
dc.identifier.urihttp://hdl.handle.net/11449/231297
dc.language.isoeng
dc.relation.ispartofAmerican Surgeon
dc.sourceScopus
dc.titleLaparoscopic heller myotomy and fundoplication in patients with chagas disease achalasia and massively dilated esophagusen
dc.typeArtigo
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt
unesp.departmentCirurgia e Ortopedia - FMBpt

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Botucatu - FMB - Faculdade de Medicina