Resultados preliminares de la esofagomiotomía por video laparoscopia en pacientes con acalasia esofágica: Preliminary results in 19 patients

• Attila Csendes J ^[1] ; Patricio Burdiles P ; Owen Korn B ; Italo Braghetto M ; Juan Carlos Díaz J ; Ana Henríquez D
  1. [1] Universidad de Chile

     Universidad de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 129, Nº. 10, 2001, págs. 1142-1146
• Idioma: español
• Títulos paralelos:
  • Laparoscopic esophagomyotomy for achalasia
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• Resumen

  • Background: Laparoscopic esophagomyotomy is becoming a good alternative to pneumatic dilatation, injection of botulinic toxin or classical surgery in the treatment of achalasia. Aim: To report the results of laparoscopic esophagomyotomy in patients with achalasia. Patients and methods: Nineteen patients with achalasia, nine women, aged 9 to 66 years old, operated between 1996 and 2001 are reported. Results: There was no surgical mortality. One patient had a subphrenic abscess due to an unnoticed tear of the esophageal mucosa. During surgery, esophageal mucosa was perforated in 4 patients, that was sutured in three. One patient with an extensive tear of the mucosa required conversion to classical surgery. Patients were followed for 2 to 48 months. Radiological controls showed a significant increase in the diameter of gastroesophageal junction and a diameter reduction of the mid third esophageal segment. Lower esophageal pressure was significantly reduced. All patients experienced a weight increase and reduction of dysphagia. Conclusions: Laparoscopic esophagomyotomy is a safe an effective therapeutic alternative for achalasia (Rev Méd Chile 2001; 129: 1142-46)