alexa Revisional surgery after heller myotomy for treatment of achalasia: a comparative analysis focusing on operative approach.


Surgery: Current Research

Author(s): Gouda BP, Nelson T, Bhoyrul S

Abstract Share this page

Abstract Surgical myotomy is the gold standard in therapy for achalasia, but treatment failures occur and require revisional surgery. A MEDLINE search of peer-reviewed articles published in English from 1970 to December 2008 was performed using the following terms: esophageal achalasia, Heller myotomy, and revisional surgery. Thirty-three articles satisfied our inclusion criteria. A total of 12,727 patients, with mean age of 43.3 years (males 46\% and females 50\%), underwent Heller myotomy (open 94.8\% and laparoscopic 5.2\%). Revisional surgery was performed in 6.19\%. Procedures performed included revision of the original myotomy or creation of a new myotomy with or without an antireflux procedure or esophagectomy. Reasons for reoperation were incomplete myotomy (51.8\%), onset of reflux (34\%), megaesophagus (16.2\%), and esophageal carcinoma (3.04\%). Systematic review of the literature for revisional surgery following Heller myotomy revealed a 6.19\% rate of reoperation with a low mortality rate.
This article was published in Indian J Surg and referenced in Surgery: Current Research

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version