INTRODUCTION: Heller myotomy leads to good-excellent long-term results in 90% of patients with achalasia and thereby has evolved to the "first-line" therapy. Failure of surgical treatment, however, remains an urgent problem which has been discussed controversially recently. MATERIALS AND METHODS: A systematic review of the literature was performed to analyze the long-term results of failures after Heller's operation with emphasis on treatment by remedial myotomy. DISCUSSION: Other reinterventions and their causes after failure of surgical treatment in patients with achalasia are discussed.
INTRODUCTION: Heller myotomy leads to good-excellent long-term results in 90% of patients with achalasia and thereby has evolved to the "first-line" therapy. Failure of surgical treatment, however, remains an urgent problem which has been discussed controversially recently. MATERIALS AND METHODS: A systematic review of the literature was performed to analyze the long-term results of failures after Heller's operation with emphasis on treatment by remedial myotomy. DISCUSSION: Other reinterventions and their causes after failure of surgical treatment in patients with achalasia are discussed.
Authors: M Costantini; G Zaninotto; E Guirroli; C Rizzetto; G Portale; A Ruol; L Nicoletti; E Ancona Journal: Surg Endosc Date: 2005-01-10 Impact factor: 4.584
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