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https://hdl.handle.net/2440/10570
Type: | Journal article |
Title: | Laparoscopic cardiomyotomy and Dor patch for achalasia |
Author: | Mitchell, P. Watson, D. Devitt, P. Britten-Jones, R. MacDonald, S. Myers, J. Jamieson, G. |
Citation: | Canadian Journal of Surgery, 1995; 38(5):445-448 |
Publisher: | Canadian Medical Association |
Issue Date: | 1995 |
ISSN: | 0008-428X 1488-2310 |
Statement of Responsibility: | Philip C. Mitchell; David I. Watson, P.G. Devitt, R. Britten-Jones, S. MacDonald, MD; J.C. Myers, Glyn G. Jamieson |
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. |
Keywords: | Esophagus Cardia Humans Esophageal Achalasia Postoperative Complications Laparoscopy Length of Stay Methods Middle Aged Female Male |
Rights: | © Copyright 1995-2012 Canadian Medical Association. |
Appears in Collections: | Aurora harvest 2 Surgery publications |
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