title: [Reapplication of myotomy and fundoplication in the surgical treatment of recurrent dysphagia after incomplete myotomy].
abstract: Twelve patients presenting dysphagia due to incomplete myotomy were evaluated. Clinic, endoscopic, radiographic and manometric studies were performed before and after a new operation, esophagocardiomyotomy and esophagofundogastropexy, by laparotomy and phrenotomy. There was no morbiletality and it was achieved control of dysphagia in all patients, as well as weight gain and significant reduction of the esophageal emptying time. Only one patient presented moderate esophagitis in the postoperative period. Reduced resting pressure of the LES was noted, but with no alteration of its lenght. The operation proved be factible and able to constitute good option to treat these cases.
authors.affiliation: Departamento de Gastroenterologia do HC da Faculdade de Medicina da Universidade de São Paulo.
authors.forename: H O
authors.initials: HO
authors.lastname: Serra
authors.forename: V N
authors.initials: VN
authors.lastname: Felix
authors.forename: I
authors.initials: I
authors.lastname: Cecconello
authors.forename: H W
authors.initials: HW
authors.lastname: Pinotti
mesh_terms: D000328:Adult; D002299:Cardia / Q000601:surgery*; D003680:Deglutition Disorders / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D004931:Esophageal Achalasia / Q000601:surgery; D018662:Fundoplication; D006801:Humans; D012008:Recurrence; D012086:Reoperation
vernacular_title: Reaplicação de miotomia e fundoplicatura para tratamento cirúrgico da recidiva de disfagia nos casos de miotomia incompleta.