Minimally invasive surgery for esophageal achalasia

Esophageal achalasia is the most commonly diagnosed primary esophageal motor disorder and the second most common functional esophageal disorder. Current therapy of achalasia is directed toward elimination of the outflow resistance caused by failure of the lower esophageal sphincter to relax complete...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2006-10, Vol.12 (37), p.5921-5925
Main Author: Bonavina, Luigi
Format: Article
Language:English
Subjects:
Dilatation - methods
Endoscopy, Digestive System - methods
Esophageal Achalasia - physiopathology
Esophageal Achalasia - surgery
Fundoplication - methods
Humans
Laparoscopy - methods
Minimally Invasive Surgical Procedures - methods
弛缓不能
腹腔镜
食管疾病
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Summary:Esophageal achalasia is the most commonly diagnosed primary esophageal motor disorder and the second most common functional esophageal disorder. Current therapy of achalasia is directed toward elimination of the outflow resistance caused by failure of the lower esophageal sphincter to relax completely upon swallowing. The advent of minimally invasive surgery has nearly replaced endoscopic pneumatic dilation as the first-line therapeutic approach. In this editorial, the rationale and the evidence supporting the use of laparoscopic Heller myotomy combined with fundoplication as a primary treatment of achalasia are reviewed.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v12.i37.5921