Short segment oesophago-cardiomyotomy for achalasia cardia.
Over a seven year period, 25 patients of achalasia cardia underwent a transabdominal short segment oesophago-cardiomyotomy. There was no operative mortality. Two patients had a mucosal tear, detected intraoperatively and promptly repaired. All patients were regularly followed up (range 1 to 7 years). Clinical results were excellent in 76%, good in 20% and fair in 4%. No patient developed reflux or required reoperation for residual dysphagia. We conclude that a transabdominal short segment oesophago-cardiomyotomy performed carefully is a safe and effective procedure in the treatment of achalasia.
Sinha
S
S
Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.
Chattopadhyay
T K
TK
D000293:Adolescent; D000328:Adult; D002299:Cardia / Q000601:surgery*; D002648:Child; D004931:Esophageal Achalasia / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged