Surgical treatment of achalasia: current status and controversies

Digestive Surgery
Farshad AbirRobert Bell

Abstract

To review the current management of achalasia, and the controversies regarding the different treatment options. A review of the literature was performed. The key words used were esophageal achalasia, Heller myotomy, endoscopic balloon dilatation, laparoscopic Heller myotomy, and fundoplication. Patients who fail medical therapy (e.g. pharmacologic therapy, botulinum toxin, balloon dilatation) should be considered for surgical therapy for the management of achalasia. Currently, numerous surgical procedures exist for the treatment of achalasia (transabdominal cardiomyotomy, thoracoscopic or open transthoracic cardiomyotomy, and laparoscopic Heller myotomy with an antireflux procedure). Laparoscopic Heller myotomy is generally accepted as the operative procedure of choice for achalasia. However, controversy exists as to whether a concomitant antireflux procedure is necessary, and if so, what type should be performed. Given the deleterious effects of postoperative reflux, and the facility of including an antireflux procedure at the time of the myotomy, there is merit in undertaking an antireflux procedure at the time of the laparoscopic Heller myotomy.

Citations

Apr 17, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Sarah M CowgillAlexander S Rosemurgy
Dec 12, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Cristina AlmansaSami R Achem
Sep 11, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kelly R FinanMary T Hawn
Sep 18, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Garrett R RollGuilherme M Campos
Jun 16, 2011·General Thoracic and Cardiovascular Surgery·Hideyuki Kashiwagi, Nobuo Omura
Jan 16, 2014·The Indian Journal of Surgery·Lileswar KamanSaroj Sinha
Feb 24, 2006·Annals of Surgery·Giovanni RamacciatoPaolo Aurello
Dec 25, 2008·Annals of Surgery·Guilherme M CamposRuxandra Ciovica
Mar 7, 2007·Acta chirurgica Iugoslavica·A SimićP Pesko
May 31, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Juliet L FernándezDavid B McAneny
Jun 24, 2011·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Reza BagheriSadjad Noorshafiee
May 20, 2008·World Journal of Surgery·Brechtje A GrotenhuisDavid I Watson
Dec 25, 2008·Digestive Diseases and Sciences·Lan WangLan Li
Oct 22, 2013·Annali italiani di chirurgia·Francesco Corcione
Jul 28, 2009·Gastroenterología y hepatología·Franco G MarinelloManuel Trías
Feb 21, 2009·Journal of the American College of Surgeons·Valerie A Williams, Jeffrey H Peters
Oct 16, 2007·American Journal of Surgery·Brechtje A GrotenhuisDavid I Watson
Aug 23, 2006·Gastrointestinal Endoscopy·Ronald W Yeh, George Triadafilopoulos
Apr 16, 2008·Alimentary Pharmacology & Therapeutics·G Di NardoR De Giorgio
Apr 14, 2006·Alimentary Pharmacology & Therapeutics·I LeeuwenburghE J Kuipers
Jul 27, 2006·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·R E Kraichely, G Farrugia
Aug 22, 2006·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·N Pehlivanov, P J Pasricha
May 18, 2012·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·P ErikssonK-E Johansson
Apr 22, 2009·The Annals of Thoracic Surgery·Shady M EldaifDaniel L Miller
May 25, 2012·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·David R C JamesEmmanouil Zacharakis
Oct 27, 2012·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Natsuya KatadaMasahiko Watanabe
Mar 7, 2009·International Journal of Surgery·Avinash Kumar TankVinay Kumar Kapoor
Feb 27, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Reece K DeHaanJon C Gould
Nov 6, 2008·Asian Cardiovascular & Thoracic Annals·Nan MaJu Mei
Mar 28, 2008·Journal of Clinical Gastroenterology·Ehab ElakkaryRobert Bell
Apr 9, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Anantha MadhavanYirupaiahgari Krishnaiah Setty Viswanath
Oct 20, 2015·World Journal of Gastroenterology : WJG·Kazuto TsuboiKatsuhiko Yanaga
Jul 2, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Renato SalvadorMario Costantini
Jul 9, 2011·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·I GockelH Lang
Jul 24, 2021·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Kazuto TsuboiHideyuki Kashiwagi

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