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https://hdl.handle.net/2440/79695
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Type: | Journal article |
Title: | Laparoscopic stapled cardioplasty for end-stage achalasia |
Author: | Griffiths, E. Devitt, P. Jamieson, G. Myers, J. Thompson, S. |
Citation: | Journal of Gastrointestinal Surgery, 2013; 17(5):997-1001 |
Publisher: | Elsevier Svience Inc |
Issue Date: | 2013 |
ISSN: | 1091-255X 1873-4626 |
Statement of Responsibility: | Ewen A. Griffiths, Peter G. Devitt, Glyn G. Jamieson, Jennifer C. Myers, Sarah K. Thompson |
Abstract: | <h4>Introduction</h4>The standard of care for achalasia is laparoscopic Heller's cardiomyotomy. This procedure achieves satisfactory and long-standing results in over 85 % of patients. However, in 10-15 % of patients, esophageal function will progressively deteriorate, and up to 5 % will develop end-stage achalasia. Options in these difficult patients are limited, and include redo cardiomyotomy, repeat dilatation, and in severe cases, esophagectomy.<h4>Methods</h4>In this report, we describe an alternate approach, a cardioplasty, which was originally described by Heyrovsky in 1913.<h4>Results</h4>The development of an angulated stapling device now makes this operation feasible by a laparoscopic approach.<h4>Conclusion</h4>This report highlights our technique for laparoscopic cardioplasty in patients with end-stage achalasia. |
Keywords: | Achalasia Laparoscopic cardioplasty Redo cardiomyotomy |
Rights: | © 2012 The Society for Surgery of the Alimentary Tract |
DOI: | 10.1007/s11605-012-2111-3 |
Published version: | http://dx.doi.org/10.1007/s11605-012-2111-3 |
Appears in Collections: | Aurora harvest 4 Surgery publications |
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