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https://hdl.handle.net/2440/10570
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DC Field | Value | Language |
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dc.contributor.author | Mitchell, P. | - |
dc.contributor.author | Watson, D. | - |
dc.contributor.author | Devitt, P. | - |
dc.contributor.author | Britten-Jones, R. | - |
dc.contributor.author | MacDonald, S. | - |
dc.contributor.author | Myers, J. | - |
dc.contributor.author | Jamieson, G. | - |
dc.date.issued | 1995 | - |
dc.identifier.citation | Canadian Journal of Surgery, 1995; 38(5):445-448 | - |
dc.identifier.issn | 0008-428X | - |
dc.identifier.issn | 1488-2310 | - |
dc.identifier.uri | http://hdl.handle.net/2440/10570 | - |
dc.description.abstract | Objective: To evaluate early experience with laparoscopic Heller's cardiomyotomy with placement of a Dor patch for achalasia. Design: A prospective case series. Setting: A university teaching hospital. Patients: Fourteen patients (5 men, 9 women, median age 47 years) with esophageal achalasia, treated between July 1992 and July 1994. Interventions: Laparoscopic Heller's cardiomyotomy with a Dor patch. Main Outcome Measures: Clinical relief of symptoms, confirmed by esophageal manometry, 24-hour ambulatory pH monitoring and barium-contrast radiography. Results: Three of the 14 patients required conversion to an open procedure, and 1 underwent early laparotomy for postoperative bleeding. The median operating time was 120 minutes (range from 75 to 210 minutes), and the median duration of hospitalization was 4 days (range from 3 to 18 days). Normal physical activity was resumed after a median of 2 weeks (range from 0.5 to 6 weeks). Symptomatic dysphagia was completely relieved in 12 patients and improved in 2. Only one patient experienced symptoms of reflux postoperatively. Postoperative esophageal manometry (seven patients), 24-hour pH monitoring (five patients) and barium-meal radiography (seven patients) confirmed the clinical results. Conclusion: Laparoscopic Heller's cardiomyotomy with a Dor patch provides a viable alternative to open cardiomyotomy and forceful endoscopic dilatation. | - |
dc.description.statementofresponsibility | Philip C. Mitchell; David I. Watson, P.G. Devitt, R. Britten-Jones, S. MacDonald, MD; J.C. Myers, Glyn G. Jamieson | - |
dc.language.iso | en | - |
dc.publisher | Canadian Medical Association | - |
dc.rights | © Copyright 1995-2012 Canadian Medical Association. | - |
dc.subject | Esophagus | - |
dc.subject | Cardia | - |
dc.subject | Humans | - |
dc.subject | Esophageal Achalasia | - |
dc.subject | Postoperative Complications | - |
dc.subject | Laparoscopy | - |
dc.subject | Length of Stay | - |
dc.subject | Methods | - |
dc.subject | Middle Aged | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.title | Laparoscopic cardiomyotomy and Dor patch for achalasia | - |
dc.type | Journal article | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Myers, J. [0000-0003-2157-7098] | - |
Appears in Collections: | Aurora harvest 2 Surgery publications |
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