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Surgical Endoscopy

Published in:

01-03-2006

Technique and follow-up of minimally invasive Heller myotomy for achalasia

Authors: A. Iqbal, M. Haider, K. Desai, N. Garg, J. Kavan, S. Mittal, C. J. Filipi

Published in: Surgical Endoscopy | Issue 3/2006

Abstract

Background

Laparoscopic Heller myotomy has been proven effective. Reliable predictive factors for outcome and the true benefit of the da Vinci robotic system, however, remain unknown.

Methods

Seventy patients underwent laparoscopic Heller myotomy. The number of intraoperative perforations and the symptom-predictive value of postoperative esophagogram width measurement at the gastroesophageal junction were analyzed.

Results

The overall complication rate was 11%. Four patients experienced intraoperative perforation during the laparoscopic technique. No perforations were experienced with the da Vinci robotic system (n = 19). Of the total, 82% of patients had resolution of dysphagia, 91% of regurgitation, 91% of heartburn and 82% of chest pain. Immediate postoperative esophagogram gastroesophageal junction width demonstrated a positive predictive trend from 0 to 10 mm for dysphagia.

Conclusion

Laparoscopic Heller myotomy is an effective treatment for achalasia. Immediate postoperative esophagogram gastroesophageal junction width measurement as a predictor for symptom resolution requires further study.

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Title: Technique and follow-up of minimally invasive Heller myotomy for achalasia
Authors: A. Iqbal
M. Haider
K. Desai
N. Garg
J. Kavan
S. Mittal
C. J. Filipi
Publication date: 01-03-2006
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 3/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-005-0069-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Technique and follow-up of minimally invasive Heller myotomy for achalasia

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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