Laparoscopic heller myotomy and fundoplication in patients with chagas disease achalasia and massively dilated esophagus

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Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorSão Paulo Francisco Morato de Oliveira-
Autor(es): dc.contributorUniversity of Chicago-
Autor(es): dc.creatorPantanali, Carlos A. R.-
Autor(es): dc.creatorHerbella, Fernando A. M.-
Autor(es): dc.creatorHenry, Maria A.-
Autor(es): dc.creatorFarah, Jose Francisco Mattos-
Autor(es): dc.creatorPatti, Marco G.-
Data de aceite: dc.date.accessioned2025-08-21T20:32:57Z-
Data de disponibilização: dc.date.available2025-08-21T20:32:57Z-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2013-01-01-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/231297-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/231297-
Descrição: dc.descriptionLaparoscopic Heller myotomy and fundoplication is considered today the treatment of choice for achalasia. The optimal treatment for end-stage achalasia with esophageal dilation is still controversial. This multicenter and retrospective study aims to evaluate the outcome of laparoscopic Heller myotomy in patients with a massively dilated esophagus. Eleven patients (mean age, 56 years; 6 men) with massively dilated esophagus (esophageal diameter greater than 10 cm) underwent a laparoscopic Heller myotomy and anterior fundoplication between 2000 and 2009 at three different institutions. Preoperative workup included upper endoscopy, esophagram, and esophageal manometry in all patients. Average follow-up was 31.5 months (range, 3 to 60 months). Two patients (18%) had severe dysphagia, four patients (36%) had mild and occasional dysphagia to solid food, and five patients (45%) were asymptomatic. All patients gained or kept body weight, except for the two patients with severe dysphagia. Of the two patients with severe dysphagia, one underwent esophageal dilatation and the other a laparoscopic esophagectomy. They are both doing well. Heller myotomy relieves dysphagia in the majority of patients even when the esophagus is massively dilated. Copyright Southeastern Surgical Congress. All rights reserved.-
Descrição: dc.descriptionDepartment of Surgery Escola Paulista de Medicina Federal University of São Paulo, Rua Diogo de Faria 1087 cj 301, São Paulo, SP, 04037-003-
Descrição: dc.descriptionDepartment of Surgery and Orthopedics State University of São Paulo, Botucatu, SP-
Descrição: dc.descriptionDepartment of Surgery Hospital do Servidor Pu blico Estadual São Paulo Francisco Morato de Oliveira, São Paulo, SP-
Descrição: dc.descriptionDepartment of Surgery University of Chicago, Chicago, IL-
Formato: dc.format72-75-
Idioma: dc.languageen-
Relação: dc.relationAmerican Surgeon-
???dc.source???: dc.sourceScopus-
Título: dc.titleLaparoscopic heller myotomy and fundoplication in patients with chagas disease achalasia and massively dilated esophagus-
Tipo de arquivo: dc.typelivro digital-
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