title: The Heyrowsky operation associated with fundoplication for the treatment of patients with achalasia of the esophagus after failure of the cardiomyotomy.
abstract: In six patients with achalasia of the esophagus who previously underwent, one or more times, cardiomyotomy and had a failure of the procedure, we have done a new operation, an abdominal laterolateral anastomosis between the esophagus and the gastric fundus (Heyrowsky), wrapping it up with the stomach to form a genuine fundoplication. The six patients were preoperatively and postoperatively evaluated roentgenographically, endoscopically and manometrically, and the results were good with no reflux, and the drainage effect of the operation was excellent. This technique is a recourse for patients who have a recurrence of dysphagia after the Heller operation, because it has been ineffective, since it sometimes occurs in a rather large megaesophagus.
mesh_terms: D000328:Adult; D000368:Aged; D004931:Esophageal Achalasia / Q000503:physiopathology / Q000601:surgery*; D004943:Esophagogastric Junction / Q000503:physiopathology; D004947:Esophagus / Q000601:surgery; D005260:Female; D005748:Gastric Fundus / Q000601:surgery; D005764:Gastroesophageal Reflux / Q000517:prevention & control; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D012086:Reoperation