[Dilatation versus surgery in the treatment of cardial achalasia].
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.
Tosato
F
F
Servizio Speciale di Chirurgia Esofagea, Policlinico Umberto I, Roma.
Passaro
U
U
Scocchera
F
F
Vasapollo
L
L
Giordani
D
D
Paolini
A
A
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
Dilatazioni versus chirurgia nel trattamento della malattia acalasica del cardias.