[Modified cardiomyotomy using Rapant's method - guaranteed prevention of esophageal reflux in the operative therapy of achalasia?].
13 patients of 23 who had been treated for achalasia by a modified esophagomyotomy were reexamined by objective assessment of esophageal function with special regard to the problems mentioned above. Pull-through-manometry displayed a decrease of resting tonicity from 37 to 8 mm Hg. In the reflux-provocation-test all patients had a normal test result. In endoscopy normal histological findings raised 70% preoperatively to 83% postoperatively. The esophageal diameter was reduced in 11 of 13 patients. No patient had symptoms to suggest the presence of reflux and relapse.
D004931:Esophageal Achalasia / Q000601:surgery*; D004942:Esophagitis, Peptic / Q000517:prevention & control*; D005500:Follow-Up Studies; D006801:Humans; D008365:Manometry
Die modifizierte Kardiomyotomie nach Rapant - eine sichere Refluxprophylaxe in der operativen Therapie der Achalasie?