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Surgery Today
Published in: Surgery Today 8/2013

01-08-2013 | Original Article

Surgical treatment for nonspecific esophageal motility disorders

Authors: Takanori Inose, Tatsuya Miyazaki, Shigemasa Suzuki, Naritaka Tanaka, Makoto Sakai, Akihiko Sano, Takehiko Yokobori, Makoto Sohda, Masanobu Nakajima, Minoru Fukuchi, Hiroyuki Kato, Hiroyuki Kuwano

Published in: Surgery Today | Issue 8/2013

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Abstract

Purpose

Nonspecific esophageal motility disorder (NEMD) is a vague category that includes patients with poorly defined contraction abnormalities observed during esophageal manometry. This study investigated the therapeutic effects of the video-assisted thoracoscopic surgery (VATS) approach using long myotomy and fundopexy for NEMD.

Methods

The VATS approach using myotomy and fundopexy was performed for 4 patients of NEMD between 2005 and 2008. A total of 4 patients with NEMD that underwent treatment at our institution were analyzed retrospectively.

Results

The patients included 2 males and 2 females with a median age of 48 years (range 21–74 years). The median duration of NEMD symptoms was 58 months (range 4–108 months). Dysphagia was a primary symptom in all patients. Chest pain was a primary symptom in 3 of 4 patients (75 %). Treatment with medication was attempted before the operation. The median operative time was 344.5 min (range 210–476 min). The median time before starting oral feeding was 2.5 days (range 2–22 days). All patients achieved a significant improvement of their previous condition.

Conclusions

The VATS approach using myotomy and fundopexy for NEMD is a good treatment in cases resistant to medication and balloon dilation.
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Metadata
Title
Surgical treatment for nonspecific esophageal motility disorders
Authors
Takanori Inose
Tatsuya Miyazaki
Shigemasa Suzuki
Naritaka Tanaka
Makoto Sakai
Akihiko Sano
Takehiko Yokobori
Makoto Sohda
Masanobu Nakajima
Minoru Fukuchi
Hiroyuki Kato
Hiroyuki Kuwano
Publication date
01-08-2013
Publisher
Springer Japan
Published in
Surgery Today / Issue 8/2013
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-012-0356-9

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