Laparoscopic Heller myotomy relieves dysphagia in patients with achalasia and low LES pressure following pneumatic dilatation

U. Diener, M. G. Patti, D. Molena, A. Tamburini, P. M. Fisichella, K. Whang, L. W. Way

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Although pneumatic dilatation is said to relieve dysphagia in achalasia if it decreases lower esophageal sphincter (LES) pressure to 10 mmHg (n = 23); group C, no previous balloon dilatation and LES pressure >10 mmHg (n = 25). All patients underwent a laparoscopic Heller myot omy and Dor fundoplication. The severity of dysphagia was gauged on a scale of 0-4. Results: In group A, LES pressure was 7 ± 2 mmHg preoperatively and 8 ± 3 mmHg postoperatively; the dysphagia score was 3.3 ± 0.7 preoperatively and 0.9 ± 1.1 postoperatively. Eighty-nine percent of patients had excellent or good results. In group B, LES pressure was 23 ± 8 mmHg preoperatively and 10 ± 1 mmHg postoperatively; the dysphagia score was 3.3 ± 0.7 preoperatively and 0.3 ± 0.5 postoperatively. All patients had excellent or good results. In group C, LES pressure was 23 ± 11 mmHg preoperatively and 14 ± 12 mmHg postoperatively; the dysphagia score was 3.6 ± 0.6 preoperatively and 0.2 ± 0.5 postoperatively. All patients had excellent or good results. Conclusions: These results show that (a) a LES pressure of

Original languageEnglish (US)
Pages (from-to)687-690
Number of pages4
JournalSurgical Endoscopy and Other Interventional Techniques
Volume15
Issue number7
DOIs
StatePublished - 2001
Externally publishedYes

Keywords

  • Dysphagia
  • Esophageal achalasia
  • Heller myotomy
  • Lower esophageal sphincter
  • Pneumatic dilatation

ASJC Scopus subject areas

  • Surgery

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