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Conference Paper: Minimally invasive surgery for achalasia
Title | Minimally invasive surgery for achalasia |
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Authors | |
Keywords | Medical sciences Otorhinolaryngology |
Issue Date | 2012 |
Publisher | Wiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/DES |
Citation | The 13th World Congress of the International Society for Diseases of the Esophagus (ISDE), Venice, Italy, 15-17 October 2012. In Diseases of the Esophagus, 2012, v. 25 suppl. S1, p. 123A, abstract no. P06.08 How to Cite? |
Abstract | BACKGROUND: There are various surgical treatment approaches for achalasia. The outcome of achalasia patients treated with surgery is evaluated. METHODS: From 1994 to 2011, 63 with achalasia were treated by myotomy with or without anti-reflux procedure. The demographics and peri-operative outcomes were analyzed. RESULTS: The median age of the studied population was 37 years (range: 13–67) and 29 (46%) were men. The median duration of symptoms prior to presentation was 18 months (range: 1–36). Prior to surgery, 12 (19%) patients had had non-operative intervention; one patient (1.6%) had botulinum toxin injection and 11 (17.5%) had balloon dilatation. The median number of dilatations was 1 (range: 1–5). Surgical procedures evolved over time; which included thoracoscopic myotomy (n = 9, 14.3%), laparoscopic myotomy (n = 13, 20.6%), laparoscopic myotomy plus Dor hemifundoplication (n = 27, 42.9%), and robotic-assisted laparoscopic myotomy plus Dor hemifundoplication (n = 14, 22.2%). There was no conversion to open surgery. Four patients (6.3%) had esophageal mucosal perforations, all were repaired with no postoperative leak. Pulmonary complication was higher using the thoracoscopic compared to laparoscopic approach, at 33.3% vs. 1.9% (p < 0.01). The duration of follow-up was 25 months (range: 1–150). The mean dysphagia score improved from 3.08 to 1.22 postoperatively. Reflux esophagitis was documented in 9 (40.9%) and 1 (2.4%) patients without and with anti-reflux procedure respectively (p < 0.01). Two patients required balloon dilatation related to persistent dysphagia. DISCUSSION: Minimally invasive surgery for achalasia provides durable and excellent symptoms relief. Anti-reflux procedure significantly reduces postoperative acid reflux. |
Description | Poster Session P06 - Motility Disorders: no. P06.08 This journal suppl. is the Special Issue: abstracts presented at the 13th World Congress of the International Society for Diseases of the Esophagus 2012 |
Persistent Identifier | http://hdl.handle.net/10722/177490 |
ISSN | 2023 Impact Factor: 2.3 2023 SCImago Journal Rankings: 1.038 |
DC Field | Value | Language |
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dc.contributor.author | Tong, D | en_US |
dc.contributor.author | Law, S | en_US |
dc.contributor.author | Chan, F | en_US |
dc.date.accessioned | 2012-12-18T05:13:35Z | - |
dc.date.available | 2012-12-18T05:13:35Z | - |
dc.date.issued | 2012 | en_US |
dc.identifier.citation | The 13th World Congress of the International Society for Diseases of the Esophagus (ISDE), Venice, Italy, 15-17 October 2012. In Diseases of the Esophagus, 2012, v. 25 suppl. S1, p. 123A, abstract no. P06.08 | en_US |
dc.identifier.issn | 1120-8694 | - |
dc.identifier.uri | http://hdl.handle.net/10722/177490 | - |
dc.description | Poster Session P06 - Motility Disorders: no. P06.08 | - |
dc.description | This journal suppl. is the Special Issue: abstracts presented at the 13th World Congress of the International Society for Diseases of the Esophagus 2012 | - |
dc.description.abstract | BACKGROUND: There are various surgical treatment approaches for achalasia. The outcome of achalasia patients treated with surgery is evaluated. METHODS: From 1994 to 2011, 63 with achalasia were treated by myotomy with or without anti-reflux procedure. The demographics and peri-operative outcomes were analyzed. RESULTS: The median age of the studied population was 37 years (range: 13–67) and 29 (46%) were men. The median duration of symptoms prior to presentation was 18 months (range: 1–36). Prior to surgery, 12 (19%) patients had had non-operative intervention; one patient (1.6%) had botulinum toxin injection and 11 (17.5%) had balloon dilatation. The median number of dilatations was 1 (range: 1–5). Surgical procedures evolved over time; which included thoracoscopic myotomy (n = 9, 14.3%), laparoscopic myotomy (n = 13, 20.6%), laparoscopic myotomy plus Dor hemifundoplication (n = 27, 42.9%), and robotic-assisted laparoscopic myotomy plus Dor hemifundoplication (n = 14, 22.2%). There was no conversion to open surgery. Four patients (6.3%) had esophageal mucosal perforations, all were repaired with no postoperative leak. Pulmonary complication was higher using the thoracoscopic compared to laparoscopic approach, at 33.3% vs. 1.9% (p < 0.01). The duration of follow-up was 25 months (range: 1–150). The mean dysphagia score improved from 3.08 to 1.22 postoperatively. Reflux esophagitis was documented in 9 (40.9%) and 1 (2.4%) patients without and with anti-reflux procedure respectively (p < 0.01). Two patients required balloon dilatation related to persistent dysphagia. DISCUSSION: Minimally invasive surgery for achalasia provides durable and excellent symptoms relief. Anti-reflux procedure significantly reduces postoperative acid reflux. | - |
dc.language | eng | en_US |
dc.publisher | Wiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/DES | - |
dc.relation.ispartof | Diseases of the Esophagus | en_US |
dc.rights | The definitive version is available at www3.interscience.wiley.com | - |
dc.subject | Medical sciences | - |
dc.subject | Otorhinolaryngology | - |
dc.title | Minimally invasive surgery for achalasia | en_US |
dc.type | Conference_Paper | en_US |
dc.identifier.email | Tong, D: esodtong@hku.hk | en_US |
dc.identifier.email | Law, S: slaw@hku.hk | en_US |
dc.identifier.email | Chan, F: fsychan@hku.hk | en_US |
dc.identifier.authority | Law, S=rp00437 | en_US |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1111/j.1442-2050.2012.01405.x | - |
dc.identifier.hkuros | 212751 | en_US |
dc.identifier.hkuros | 212754 | - |
dc.identifier.volume | 25 | - |
dc.identifier.issue | suppl. S1 | - |
dc.identifier.spage | 123A, abstract no. P06.08 | - |
dc.identifier.epage | 123A, abstract no. P06.08 | - |
dc.publisher.place | Australia | - |
dc.identifier.issnl | 1120-8694 | - |