Laparoscopic extended cardiomyotomy in children: an effective procedure for the treatment of esophageal achalasia

Journal of Pediatric Surgery
Ana Cristina Aoun TannuriRodrigo Luiz Pinto Romão

Abstract

Achalasia of the esophagus is characterized by aperistalsis and incomplete relaxation of the lower esophageal sphincter in response to swallowing. The objective of the present study is to present the experience of a modified Heller myotomy via a laparoscopic approach for the treatment of children who had this condition. A retrospective review of medical records of all patients who underwent this procedure from 2000 to 2009 was performed. The procedure consisted of an extended esophagomyotomy beginning on the lower part of the lower esophageal sphincter and continuing 5 to 6 cm above on the lower third of the esophagus, and then extended 3 to 4 cm below to the stomach, associated with an anterior 180-degree hemi-fundoplication according to Dor's technique. Fifteen patients were included in the study. There were 8 female and 7 male patients. Mean operating time was 190 minutes with no intraoperative complications and 1 conversion to open surgery because of difficulty in dissecting an inflamed distal esophagus. In a mean follow-up period of 32.3 months, 2 patients had recurrence of mild dysphagia that disappeared spontaneously, and 1 required a single botulinum toxin injection with complete resolution of symptoms. We conclude that...Continue Reading

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Citations

Oct 1, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ciro EspositoAlessandro Settimi
Jan 1, 2014·Singapore Medical Journal·Guadalupe ViegelmannHui Ping Chu
Jun 3, 2015·Nature Reviews. Gastroenterology & Hepatology·Robert BecharaHaruhiro Inoue
Jan 20, 2015·Journal of Pediatric Surgery·Chenjie LiDeliang Liu
Dec 21, 2014·Gastrointestinal Endoscopy·Eric H Chiou
Apr 22, 2014·World Journal of Gastrointestinal Endoscopy·Ashanti L FranklinTimothy D Kane
Dec 3, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Maurizio Pacilli, Mark Davenport
Nov 24, 2012·Revista do Colégio Brasileiro de Cirurgiões·Manoel Carlos Prieto VelhoteAna Cristina Aoun Tannuri
May 28, 2019·Current Treatment Options in Pediatrics·Lusine AmbartsumyanRachel Rosen
Aug 15, 2013·Journal of Pediatric Gastroenterology and Nutrition·Pietro FamiliariGuido Costamagna

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