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Abstract

Though a relatively rare disease (with an estimated prevalence of 0.5–1 new cases per 100,000 population a year, and with no clear age predilection), achalasia is the most common motor disorder of the esophagus. Its pathophysiology consists of the loss of esophageal body peristalsis and an impaired lower esophageal sphincter (LES) relaxation, resulting in a residual pressure gradient between the esophagus and the stomach during swallowing, which gives rise to a functional obstruction at the gastro-esophageal junction.

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References

  1. Ancona E, Peracchia A, Zaninotto G, Rossi M, Bonavina L, Segalin A. Heller laparoscopic cardiomyotomy with antireflux anterior fundoplication (Dor) in the treatment of esophageal achalasia. Surg Endosc. 1993;7:459–61.

    Article  CAS  PubMed  Google Scholar 

  2. Spiess AE, Kahrilas PJ. Treating achalasia: from whalebone to laparoscope. J Am Med Assoc. 1998;280:638–42.

    Article  CAS  Google Scholar 

  3. Torquati A, Richards WO, Holzman MD, Sharp KW. Laparoscopic myotomy for achalasia: predictors of successful outcome after 200 cases. Ann Surg. 2006;243:587–91; discussion 591–593.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Zaninotto G, Costantini M, Portale G, Battaglia G, Molena D, Carta A, et al. Etiology, diagnosis, and treatment of failures after laparoscopic Heller myotomy for achalasia. Ann Surg. 2002;235:186–92.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Zaninotto G, Costantini M, Rizzetto C, Zanatta L, Guirroli E, Portale G, et al. Four hundred laparoscopic myotomies for esophageal achalasia: a single centre experience. Ann Surg. 2008;248:986–93.

    Article  PubMed  Google Scholar 

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Correspondence to Giovanni Zaninotto MD, FACS .

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Zaninotto, G., Costantini, M. (2017). Motility Disorders. In: Bonjer, H. (eds) Surgical Principles of Minimally Invasive Procedures. Springer, Cham. https://doi.org/10.1007/978-3-319-43196-3_7

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  • DOI: https://doi.org/10.1007/978-3-319-43196-3_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43194-9

  • Online ISBN: 978-3-319-43196-3

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