title: Laparoscopic esophagomyotomy with dor anterior fundoplication in a child with achalasia.
abstract: Laparoscopic myotomy with anterior fundoplication was successfully performed on a 12-year-old boy with esophageal achalasia. After completion of a longitudinal esophagocardiomyotomy approximately 6 cm in length, a 180 degrees fundic patch was sutured anteriorly to the myotomized esophagus according to the Dor-Gavriliu technique. The patient showed a rapid and uneventful recovery with complete resolution of his preoperative symptoms. The nonobstructive antireflux procedure can be safely performed concomitantly with another surgery, even in a pediatric patient.
authors.affiliation: Department of Pediatric Surgery, Osaka University Medical School, Suita, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Nakajima
authors.forename: M
authors.initials: M
authors.lastname: Wasa
authors.forename: H
authors.initials: H
authors.lastname: Kawahara
authors.forename: H
authors.initials: H
authors.lastname: Soh
authors.forename: E
authors.initials: E
authors.lastname: Taniguchi
authors.forename: S
authors.initials: S
authors.lastname: Ohashi
authors.forename: A
authors.initials: A
authors.lastname: Okada
mesh_terms: D002648:Child; D004931:Esophageal Achalasia / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D018662:Fundoplication / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D013536:Suture Techniques