title: Heller's cardiomyotomy with augmented Toupet's fundoplication immediate and long-term outcome.
abstract: BACKGROUND
  Achalasia patients who underwent Heller cardiomyotomy with Toupet's fundoplication have excellent results in a previous report data. However, the result with open technique has not been reported in Thai.
  
  
  OBJECTIVE
  To study the immediate and long-term outcome of open transabdominal Heller cardiomyotomy with Toupet's fundoplication in Achalasia patients.
  
  
  METHODS
  Retrospective review of all achalasia patients who underwent open Heller cardiomyotomy with Toupet's fundoplication in Maharaj Nakorn Chiang Mai Hospital, Thailand during the past ten years (1997-2007). The data was analysis with descriptive statistics.
  
  
  RESULTS
  Twenty-two cases (11 male) were included in this study. Mean age was 40 years. The mean duration of symptoms before surgery was 62.5 months. Ninety-one percent of patients were free from dysphagia immediately after operation. There was no early postoperative complication. Three patients had relapse symptom (14%). Mean follow-up time in the present study was 30 months.
  
  
  CONCLUSIONS
  Open transabdominal Heller's cardiomyotomy with augmented Toupet's fundoplication done by experienced surgeons is an effective technique to treat achalasia patients in our center.
authors.affiliation: Gastrointestinal Surgery Unit, Maharaj Nakorn Chiang Mai Hospital, Chiang Mai, Thailand. namtaow@hotmail.com
authors.forename: Bandhuphat
authors.initials: B
authors.lastname: Chakrabandhu
authors.forename: Sirikarn
authors.initials: S
authors.lastname: Yamada
authors.forename: Thiraphat
authors.initials: T
authors.lastname: Chakrabandhu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004931:Esophageal Achalasia / Q000145:classification / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000209:etiology; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011184:Postoperative Period; D012189:Retrospective Studies; D013785:Thailand; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss; D055815:Young Adult