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Revisional surgery after Heller myotomy for esophageal achalasia.
- Source :
-
Surgical laparoscopy, endoscopy & percutaneous techniques [Surg Laparosc Endosc Percutan Tech] 2010 Oct; Vol. 20 (5), pp. 321-5. - Publication Year :
- 2010
-
Abstract
- Revisional surgery for persistent or recurrent dysphagia following Heller myotomy is rare and should become even more rare if an extended myotomy has been carried out. It is important to work-up patients who experience persistent or recurrent dysphagia in a systematic fashion that includes the determination of the diagnosis of achalasia, the type of operation performed, the results obtained with the primary operation, and to further classify the type of recurrence. Use of adjunctive studies, including upper gastrointestinal study, endoscopy, manometry, and pH monitoring is critical to guiding clinical decision making. This article will review the differential diagnosis, diagnostic workup, and available treatment options for patients with achalasia who present with persistent or recurrent dysphagia following Heller myotomy.
- Subjects :
- Deglutition Disorders diagnosis
Deglutition Disorders etiology
Digestive System Surgical Procedures adverse effects
Digestive System Surgical Procedures methods
Esophageal Achalasia diagnosis
Esophageal pH Monitoring
Esophagus surgery
Humans
Manometry
Recurrence
Reoperation
Treatment Failure
Deglutition Disorders surgery
Esophageal Achalasia surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1534-4908
- Volume :
- 20
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Surgical laparoscopy, endoscopy & percutaneous techniques
- Publication Type :
- Academic Journal
- Accession number :
- 20975503
- Full Text :
- https://doi.org/10.1097/SLE.0b013e3181f39fdb