Recurrence of Esophageal Achalasia: Diagnosis and Treatment
Heller’s myotomy is a widely accepted operation for relief of dysphagia in patients with esophageal achalasia, giving excellent to good results in 80%-95% of cases [1–3]. In the remaining cases, presenting with recurrence of esophageal symptoms and requiring further treatment, the causes of failure of myotomy are usually related either to imperfect surgical technique or to late complications of the myotomy [3–5]. The present study was undertaken in an effort to define a variety of causes for postmyotomy disability and also to establish criteria for diagnosis and treatment.
KeywordsLower Esophageal Sphincter Lower Esophageal Sphincter Pressure Pneumatic Dilatation Esophageal Achalasia Duodenogastric Reflux
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