title: Surgery for achalasia cardiae: the Dor operation.
abstract: This review describes our use of the Dor operation in the management of 22 patients with achalasia of the cardia over the period 1970 to 1989. There was a male to female ratio of 1.8:1. All presented with dysphagia of varying degree, with regurgitation (86%), weight loss (73%), pain (59%) and chest infections (14%) being associated symptoms. Two patients had undergone previous balloon dilatation, with temporary benefit. The morbidity was low and follow-up results were good in 94% of cases. None of the patients had symptoms of gastro-oesophageal reflux in the postoperative period. In our experience, the Dor modification of the Heller operation has yielded gratifying results.
authors.affiliation: Royal Postgraduate Medical School, Hammersmith Hospital, London.
authors.forename: L A
authors.initials: LA
authors.lastname: Desa
authors.forename: J
authors.initials: J
authors.lastname: Spencer
authors.forename: S
authors.initials: S
authors.lastname: McPherson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004931:Esophageal Achalasia / Q000601:surgery*; D004943:Esophagogastric Junction / Q000601:surgery; D005260:Female; D005748:Gastric Fundus / Q000601:surgery; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D013537:Sutures