title: [Dilatation versus surgery in the treatment of cardial achalasia].
abstract: Both surgery and dilatation are useful for the treatment of cardial achalasia. The authors make a wide review of the literature with particular attention to reports comparing results of these procedures. This review evidences that surgery gives better results than dilatations (84.4% of good results with surgery against 71.4% with repeated dilatations) and is certainly more stable over the years. Mini-invasive surgery points out even more strongly that surgery is nowadays to be preferred. Laparoscopy makes it possible to avoid postoperative pain, to discharge the patient in a couple of days and finally to eliminate surgical scars. Complications, even more frequent after surgery (5.5% against 2.1% of dilatation) are still acceptable in number and not heavy in quality.
authors.affiliation: Servizio Speciale di Chirurgia Esofagea, Policlinico Umberto I, Roma.
authors.forename: F
authors.initials: F
authors.lastname: Tosato
authors.forename: U
authors.initials: U
authors.lastname: Passaro
authors.forename: F
authors.initials: F
authors.lastname: Scocchera
authors.forename: L
authors.initials: L
authors.lastname: Vasapollo
authors.forename: D
authors.initials: D
authors.lastname: Giordani
authors.forename: A
authors.initials: A
authors.lastname: Paolini
mesh_terms: D002299:Cardia / Q000601:surgery; D004106:Dilatation; D004931:Esophageal Achalasia / Q000601:surgery* / Q000628:therapy*; D004947:Esophagus / Q000601:surgery; D005500:Follow-Up Studies; D018662:Fundoplication; D006801:Humans; D012189:Retrospective Studies; D013997:Time Factors
vernacular_title: Dilatazioni versus chirurgia nel trattamento della malattia acalasica del cardias.