Heller's myotomy for achalasia: is an added anti-reflux procedure necessary?
Literature review (1970-85) indicates excellent or good results following Heller's operation in 89 per cent of 5002 patients. The overall mortality was 2.8 per cent with a reoperation rate of 2.8 per cent. When the operation was done through an abdominal incision, gastro-oesophageal reflux was almost twice as common as when it was done through a thoracic incision, regardless of whether an anti-reflux procedure was performed.
Andreollo
N A
NA
London Hospital, Whitechapel, UK.
Earlam
R J
RJ
D000328:Adult; D004931:Esophageal Achalasia / Q000601:surgery*; D005260:Female; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D009130:Muscle, Smooth / Q000601:surgery*