Resultados inmediatos y tardíos de la miotomía de Heller laparoscópica en pacientes con acalasia esofágica

Background: Achalasia is characterized by an incomplete relaxation of the lower esophageal sphincter. The best treatment is surgical and the laparoscopic approach may have good results. Aim: To assess the results of laparoscopic Heller myotomy among patients with achalasia. Material and methods: Pro...

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Autores principales:	Ibáñez,Luis, Butte,Jean Michel, Pimentel,Fernando, Escalona,Alex, Pérez,Gustavo, Crovari,Fernando, Guzmán,Sergio, Llanos,Osvaldo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2007
Materias:	Esophageal achalasia Heller myotomy Laparoscopy
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000400008
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spelling	oai:scielo:S0034-988720070004000082014-01-06Resultados inmediatos y tardíos de la miotomía de Heller laparoscópica en pacientes con acalasia esofágicaIbáñez,LuisButte,Jean MichelPimentel,FernandoEscalona,AlexPérez,GustavoCrovari,FernandoGuzmán,SergioLlanos,Osvaldo Esophageal achalasia Heller myotomy Laparoscopy Background: Achalasia is characterized by an incomplete relaxation of the lower esophageal sphincter. The best treatment is surgical and the laparoscopic approach may have good results. Aim: To assess the results of laparoscopic Heller myotomy among patients with achalasia. Material and methods: Prospective study of patients subjected to a laparoscopic Heller myotomy between 1995 and 2004. Clinical features, early and late operative results were assessed. Results: Twenty seven patients aged 12 to 74 years (12 females) were operated. All had disphagia lasting for a mean of 32 months. Mean lower esophageal sphincter pressure ranged from 18 to 85 mmHg. Eight patients received other treatments prior to surgery but symptoms persisted or reappeared. The preoperative clinical score was 7. No patient died and no procedure had to be converted to open surgery. In a follow up of 21 to 131 months, all patients are satisfied with the surgical results and the postoperative clinical score is 1. Only one patient with a mega esophagus maintained a clinical score of six. Conclusions: In this series of patients, laparoscopic Heller myotomy was an effective and safe treatment for esophageal achalasiainfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.4 20072007-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000400008es10.4067/S0034-98872007000400008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Esophageal achalasia Heller myotomy Laparoscopy
spellingShingle	Esophageal achalasia Heller myotomy Laparoscopy Ibáñez,Luis Butte,Jean Michel Pimentel,Fernando Escalona,Alex Pérez,Gustavo Crovari,Fernando Guzmán,Sergio Llanos,Osvaldo Resultados inmediatos y tardíos de la miotomía de Heller laparoscópica en pacientes con acalasia esofágica
description	Background: Achalasia is characterized by an incomplete relaxation of the lower esophageal sphincter. The best treatment is surgical and the laparoscopic approach may have good results. Aim: To assess the results of laparoscopic Heller myotomy among patients with achalasia. Material and methods: Prospective study of patients subjected to a laparoscopic Heller myotomy between 1995 and 2004. Clinical features, early and late operative results were assessed. Results: Twenty seven patients aged 12 to 74 years (12 females) were operated. All had disphagia lasting for a mean of 32 months. Mean lower esophageal sphincter pressure ranged from 18 to 85 mmHg. Eight patients received other treatments prior to surgery but symptoms persisted or reappeared. The preoperative clinical score was 7. No patient died and no procedure had to be converted to open surgery. In a follow up of 21 to 131 months, all patients are satisfied with the surgical results and the postoperative clinical score is 1. Only one patient with a mega esophagus maintained a clinical score of six. Conclusions: In this series of patients, laparoscopic Heller myotomy was an effective and safe treatment for esophageal achalasia
author	Ibáñez,Luis Butte,Jean Michel Pimentel,Fernando Escalona,Alex Pérez,Gustavo Crovari,Fernando Guzmán,Sergio Llanos,Osvaldo
author_facet	Ibáñez,Luis Butte,Jean Michel Pimentel,Fernando Escalona,Alex Pérez,Gustavo Crovari,Fernando Guzmán,Sergio Llanos,Osvaldo
author_sort	Ibáñez,Luis
title	Resultados inmediatos y tardíos de la miotomía de Heller laparoscópica en pacientes con acalasia esofágica
title_short	Resultados inmediatos y tardíos de la miotomía de Heller laparoscópica en pacientes con acalasia esofágica
title_full	Resultados inmediatos y tardíos de la miotomía de Heller laparoscópica en pacientes con acalasia esofágica
title_fullStr	Resultados inmediatos y tardíos de la miotomía de Heller laparoscópica en pacientes con acalasia esofágica
title_full_unstemmed	Resultados inmediatos y tardíos de la miotomía de Heller laparoscópica en pacientes con acalasia esofágica
title_sort	resultados inmediatos y tardíos de la miotomía de heller laparoscópica en pacientes con acalasia esofágica
publisher	Sociedad Médica de Santiago
publishDate	2007
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000400008
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Resultados inmediatos y tardíos de la miotomía de Heller laparoscópica en pacientes con acalasia esofágica

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