Pneumatic Dilation versus Laparoscopic Heller's Myotomy for Idiopathic Achalasia (N Engl J Med 2011;364:1807-1816)
نویسنده
چکیده
CC This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons. org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. *Correspondence: Justin C Y Wu, MD Institute of Digestive Disease, The Chinese University of Hong Kong, Department of Medicine & Therapeutics, 9/F, Prince of Wales Hospital, Shatin, Hong Kong Tel: +852-2632-3593, Fax: +852-2637-3852, E-mail: [email protected] Financial support: None. Conflicts of interest: None. Pneumatic Dilation versus Laparoscopic Heller's Myotomy for Idiopathic Achalasia (N Engl J Med 2011;364:1807-1816)
منابع مشابه
Management of achalasia: surgery or pneumatic dilation.
Achalasia is an esophageal motility disorder of unknown cause, characterised by aperistalsis of the esophageal body and impaired lower esophageal sphincter relaxation. Patients present at all ages, primarily with dysphagia for solids/liquids and bland regurgitation. The diagnosis is suggested by barium esophagram or endoscopy and confirmed by esophageal manometry. Achalasia cannot be cured. Ins...
متن کاملLaparoscopic esophageal myotomy versus pneumatic dilation in the treatment of idiopathic achalasia: a meta-analysis of randomized controlled trials
BACKGROUND Achalasia is a primary esophageal motility disorder of unknown etiology associated with abnormalities in peristalsis and lower esophageal sphincter relaxation. The disease is incurable; however, definitive treatment procedures like pneumatic dilation (PD)/balloon dilation and laparoscopic esophageal myotomy (LEM) are performed to relieve dysphagia and related symptoms. Currently, the...
متن کاملTen-year review of epidemiology, clinical features, and treatment outcome of achalasia in a regional hospital in Hong Kong.
OBJECTIVE To describe the epidemiology, clinical features, and treatment outcome of achalasia in Chinese patients. DESIGN Retrospective study. SETTING Major regional hospital, Hong Kong. PATIENTS Clinical records of patients with the diagnosis of achalasia from July 1997 to June 2007 were reviewed. RESULTS Thirty-two patients were diagnosed with achalasia during the study period. The me...
متن کاملSurgical Treatment for Achalasia of the Esophagus: Laparoscopic Heller Myotomy
Achalasia is an esophageal motility disorder that leads to dysphagia, chest pain, and weight loss. Its diagnosis is clinically suspected and is confirmed with esophageal manometry. Although pneumatic dilation has a role in the treatment of patients with achalasia, laparoscopic Heller myotomy is considered by many experts as the best treatment modality for most patients with newly diagnosed acha...
متن کاملFunctional results after laparoscopic Heller myotomy for achalasia: A comparative study to open surgery.
BACKGROUND Prospective studies comparing laparoscopic to open Heller myotomy for esophageal achalasia are lacking. The aim of this study was to compare functional outcome after laparoscopic and open Heller myotomy for esophageal achalasia. METHODS Eighty-two patients who underwent Heller-Dor myotomy for achalasia, via laparoscopy (n=52) or open surgery (n=30) were recorded prospectively (1993...
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عنوان ژورنال:
دوره 17 شماره
صفحات -
تاریخ انتشار 2011