title: The outcome of laparoscopic surgery with and without short gastric vessel division for achalasia.
abstract: Short gastric vessel division (SGVD) has been performed as a part of fundoplication for achalasia. However, whether or not SGVD is necessary is still unknown. Forty-six patients with achalasia who underwent a laparoscopic surgery with or without SGVD were analyzed. A questionnaire was administered to assess the postoperative improvement. Regarding improvement of dysphagia and postoperative reflux, there were no significant differences between SGVD (+) group and SGVD (-) group (P = 0.588 and P = 0.686, respectively). Nineteen patients (95%) in the SGVD (+) group and 24 (92%) in the SGVD (-) group answered that the surgery was satisfactory (P = 0.756). In the SGVD (+) group, the pre- and postsurgical body weight increase was +7.3%. In the SGVD (-) group, it was 8.2%. There was no significant difference of body weight increase between the 2 groups (P = 0.354). SGVD is not always required in laparoscopic surgery for achalasia.
authors.affiliation: Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Akutsu
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Hanari
authors.forename: Tsuguaki
authors.initials: T
authors.lastname: Kono
authors.forename: Masaya
authors.initials: M
authors.lastname: Uesato
authors.forename: Isamu
authors.initials: I
authors.lastname: Hoshino
authors.forename: Kentaro
authors.initials: K
authors.lastname: Murakami
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Natsume
authors.forename: Yuka
authors.initials: Y
authors.lastname: Isozaki
authors.forename: Naoki
authors.initials: N
authors.lastname: Akanuma
authors.forename: Takeshi
authors.initials: T
authors.lastname: Toyozumi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Suito
authors.forename: Hisahiro
authors.initials: H
authors.lastname: Matsubara
mesh_terms: D000328:Adult; D004931:Esophageal Achalasia / Q000601:surgery*; D005260:Female; D018662:Fundoplication; D006801:Humans; D007049:Iatrogenic Disease; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Achalasia; Fundoplication; Heller-Dor; Short gastric vessels