2015, Number 1
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Rev Med Inst Mex Seguro Soc 2015; 53 (1)
Experience of the surgical management of the esophageal achalasia in a tertiary care hospital
Barajas-Fregoso EM, Romero-Hernández T, Sánchez-Fernández PR, Fuentes-Orozco C, González-Ojeda A, Macías-Amezcua MD
Language: Spanish
References: 36
Page: 84-91
PDF size: 83.63 Kb.
ABSTRACT
Introduction: Achalasia is a primary esophageal motor disorder. The
most common symptoms are: dysphagia, chest pain, refl ux and weight
loss. The esophageal manometry is the standard for diagnosis. The aim
of this paper is to determine the effectiveness of the surgical management
in patients with achalasia in a tertiary care hospital.
Methods: A case series consisting of achalasia patients, treated surgically
between January and December of 2011. Clinical charts were
reviewed to obtain data and registries of the type of surgical procedure,
morbidity and mortality.
Results:Fourteen patients were identifi ed, with an average age of 49.1
years. The most common symptoms were: dysphagia, vomiting, weight
loss and pyrosis. Eight open approaches were performed and six by
laparoscopy, with an average length of cardiomyotomy of 9.4 cm. Eleven
patients received an antirefl ux procedure. The effectiveness of procedures
performed was 85.7 %.
Conclusions: Surgical management offered at this tertiary care hospital
does not differ from that reported in other case series, giving effectiveness
and safety for patients with achalasia.
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