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2015, Number 2

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Rev Mex Cir Pediatr 2015; 19 (2)

Acalasia: Comparacion entre la tecnica quirurgica laparoscopica clasica con la tecnica modificada en pediatria

Maldonado ACW, Pérez LH, López HP, Cisneros GLC, Figueroa ME

Language: Spanish
References: 20
Page: 81-87
PDF size: 345.49 Kb.


ABSTRACT

Introduction: The treatment of choice for achalasia is the Heller cardiomyotomy with fundoplication. Our goal is to compare the classical Heller cardiomyotomy with Toupet fundoplication and modified Heller cardiomyotomy with Dor fundoplication Laparoscopic and the follow up. Material and Methods: Patients from January 2010 to January 2015 patients diagnosed with achalasia were included, in two groups, group A were operated by classic Heller cardiomyotomy with Toupet fundoplication and group B were operated by the modified Heller cardiomyotomy with Dor fundoplication, to all of them the Vantrapen survey was applied. Results: 11 patients were obtained, age ranged from 3 to15 years 2 women and 9 men, in group A there were 6 and in group B 5 patients. The main symptom was dysphagia. Group A presented two complications; the group b presented 1 complication. Group A received a 50% success rate, and group B to 60%. Discussion: the Dor fundoplication decreases the risk of leakage and prevents esophageal denervation. The improvement was 60% based on Vantrapen scale.


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