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What are the rules to follow in the surgical treatment of megaesophagus?

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Benign Lesions of the Esophagus and Cancer

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Abstract

The aim of surgical treatment of esophageal achalasia is to remove dysphagia by means of LES activity annulment; in fact, the absence or inadequacy of LES relaxation determines the extent of dysphagia. This result is obtained by disconnecting the muscle fibers of the esophageal junction during the whole length of the high pressure zone of LES activity. This surgical procedure, which was described by Heller in 1913, and called extramucosal “cardias” myotomy, has been modified many times in recent years.

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Author information

Authors and Affiliations

  1. Naples, Italy

    A. Del Genio, N. Di Martino, G. Izzo & V. Maffettone

  2. Heidelberg, Germany

    Ch. Herfarth & Th. Lehnert

Authors
  1. A. Del Genio
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  2. N. Di Martino
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  3. G. Izzo
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  4. V. Maffettone
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  5. Ch. Herfarth
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  6. Th. Lehnert
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Editor information

Editors and Affiliations

  1. Service de Chirurgie Digestive, Hôpital Beaujon, 100, Blvd. du Genéral Leclerc, F-92110, Clichy - Paris, France

    Robert Giuli M. D., FACS, FCCP (Professor of Surgery) (Professor of Surgery)

  2. School of Medicine, University of Virginia, Box 145, 22908, Charlottesville, VA, USA

    Richard W. McCallum M. D., FACP, FRACP (Australia), FACG (Professor of Medicine, Chief of the Division of Gastroenterology) (Professor of Medicine, Chief of the Division of Gastroenterology)

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© 1989 Springer-Verlag Berlin Heidelberg

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Del Genio, A., Di Martino, N., Izzo, G., Maffettone, V., Herfarth, C., Lehnert, T. (1989). What are the rules to follow in the surgical treatment of megaesophagus?. In: Giuli, R., McCallum, R.W. (eds) Benign Lesions of the Esophagus and Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73055-9_10

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  • DOI: https://doi.org/10.1007/978-3-642-73055-9_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-73057-3

  • Online ISBN: 978-3-642-73055-9

  • eBook Packages: Springer Book Archive

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