Revista médica de Chile
versión impresa ISSN 0034-9887
CSENDES J, Attila et al. Laparoscopic esophagomyotomy for achalasia. Rev. méd. Chile [online]. 2001, vol.129, n.10, pp. 1142-1146. ISSN 0034-9887. doi: 10.4067/S0034-98872001001000005.
Background: Laparoscopic esophagomyotomy is becoming a good alternative to pneumatic dilatation, injection of botulinic toxin or classical surgery in the treatment of achalasia. Aim: To report the results of laparoscopic esophagomyotomy in patients with achalasia. Patients and methods: Nineteen patients with achalasia, nine women, aged 9 to 66 years old, operated between 1996 and 2001 are reported. Results: There was no surgical mortality. One patient had a subphrenic abscess due to an unnoticed tear of the esophageal mucosa. During surgery, esophageal mucosa was perforated in 4 patients, that was sutured in three. One patient with an extensive tear of the mucosa required conversion to classical surgery. Patients were followed for 2 to 48 months. Radiological controls showed a significant increase in the diameter of gastroesophageal junction and a diameter reduction of the mid third esophageal segment. Lower esophageal pressure was significantly reduced. All patients experienced a weight increase and reduction of dysphagia. Conclusions: Laparoscopic esophagomyotomy is a safe an effective therapeutic alternative for achalasia (Rev Méd Chile 2001; 129: 1142-46)
Palabras clave : Esophageal Achalasia; Esophagus; Laparoscopy.