Evaluation of minimally invasive approaches to achalasia in children

Journal of Pediatric Surgery
S S RothenbergJ H Chang

Abstract

Achalasia is an uncommon disease in children, but when present can result in severe disabling symptoms often requiring surgical intervention. This report describes the authors' experience with thoracoscopic (TH) and later laparoscopic Heller (LH) myotomy for definitive treatment of this disease. Nine patients with achalasia were referred for surgical therapy. Ages ranged from 5 to 17 years and weight from 23 to 78 kg. All had undergone at least one dilatation with recurrence of symptoms. The first 4 were treated by TH and the last five by LH. The 5 LH procedures also included a partial fundoplication. All procedures were completed successfully using minimally invasive techniques. Operating times averaged 95 minutes for TH and 62 minutes for LH. One patient undergoing TH had a small esophageal perforation repaired primarily. The other 3 TH patients were started on clear liquids within 1 day and discharged on day 2. One patient had recurrent symptoms at 6 months and underwent a LH for an incomplete TH. All 5 LH patients were discharged on postoperative day 1. One had an esophageal perforation 4 days after operation requiring laparoscopic repair. Seven of 9 patients are asymptomatic. Studies of pH levels in 2 asymptomatic TH patie...Continue Reading

References

Aug 1, 1991·The Annals of Thoracic Surgery·M K Ferguson
Oct 1, 1994·Journal of Pediatric Surgery·N A MyersR Taylor
Sep 1, 1993·The Annals of Thoracic Surgery·C A PellegriniL Way
May 1, 1996·Journal of Pediatric Surgery·G W HolcombB D Riedel
Dec 5, 1998·Seminars in Pediatric Surgery·S S Rothenberg
May 19, 2000·Journal of Pediatric Gastroenterology and Nutrition·M HurwitzJ Vargas

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Citations

May 3, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jessica A ZagoryNam X Nguyen
May 8, 2007·Journal of the American College of Surgeons·Charles PaidasAlexander S Rosemurgy
Jul 20, 2014·Advances in Pediatrics·Hope T Jackson, Timothy D Kane
Apr 22, 2014·World Journal of Gastrointestinal Endoscopy·Ashanti L FranklinTimothy D Kane
Apr 27, 2007·Journal of Pediatric Gastroenterology and Nutrition·Alfredo GarziMario Messina
Apr 12, 2008·World Journal of Pediatrics : WJP·Vijay D UpadhyayaS C Gopal
Oct 13, 2006·Current Opinion in Gastroenterology·Chandra Prakash, Ray E Clouse
May 26, 2017·European Journal of Pediatrics·Efstratios SaliakellisOsvaldo Borrelli
Dec 3, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Maurizio Pacilli, Mark Davenport
Feb 15, 2005·International Journal of Clinical Practice·L AvtanV Ozmen

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