BACKGROUND/AIMS: Surgery remains the first choice for achalasia of the esophagus with good results in 90% of cases. METHODOLOGY: We studied the cause of failure for surgical treatment and the results of a second operation in 20 patients that were followed up for at least three years. RESULTS: The results were good in 70% of the cases. CONCLUSIONS: To improve this procedure, according to the authors, it is essential for a careful presurgery evaluation, an early reoperation in case of failure and a careful surgical technique in order to avoid periesophageal sclerosis.
BACKGROUND/AIMS: Surgery remains the first choice for achalasia of the esophagus with good results in 90% of cases. METHODOLOGY: We studied the cause of failure for surgical treatment and the results of a second operation in 20 patients that were followed up for at least three years. RESULTS: The results were good in 70% of the cases. CONCLUSIONS: To improve this procedure, according to the authors, it is essential for a careful presurgery evaluation, an early reoperation in case of failure and a careful surgical technique in order to avoid periesophageal sclerosis.
Authors: Benjamin R Veenstra; Ross F Goldberg; Steven P Bowers; Mathew Thomas; Ronald A Hinder; C Daniel Smith Journal: Surg Endosc Date: 2015-08-15 Impact factor: 4.584
Authors: Ines Gockel; Stephan Timm; George G Sgourakis; Thomas J Musholt; Andreas D Rink; Hauke Lang Journal: J Gastrointest Surg Date: 2009-10-24 Impact factor: 3.452