Acta clinica Croatica, Vol. 43 No. 3, 2004.
Other
Laparoscopic Esophagomyotomy Following Unsuccessful Pneumatic Dilatation in a Patient with Idiopathic Achalasia
Björn Dario Franjić
August Mijić
Zvonimir Puljiz
Boris Ružić
Dragan Jurčić
Mladen Perić
Aljoša Matejčić
Miroslav Bekavac-Bešlin
Abstract
Achalasia is a relatively uncommon gastrointestinal disorder characterized by the absence of normal peristalsis of the esophagus and markedly diminished or absent relaxation of the lower esophageal sphincter during swallowing, caused by degenerative changes of parasympathetic innervation. All treatment modalities are palliative and include drug administration, endoscopic injection of botulinum toxin into the lower esophageal sphincter, pneumatic balloon dilatation, and surgery. Surgery offers the best long term results and may be performed as an open or endoscopic procedure, the latter yielding excellent results accompanied by all well-known advantages of minimally invasive surgery. Presentation is made of a patient with esophageal achalasia who was treated with balloon dilatation and laparoscopic esophagomyotomy.
Keywords
Esophageal achalasia - therapy; Esophageal achalasia - surgery; Esophagus - surgery; Laparoscopy - methods; Balloon dilatation; Surgical procedures - minimally invasive
Hrčak ID:
14536
URI
Publication date:
1.9.2004.
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