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Achalasie

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Evidenzbasierte Viszeralchirurgie benigner Erkrankungen

Part of the book series: Evidenzbasierte Chirurgie ((EC))

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Zusammenfassung

Die laparoskopische Heller-Myotomie (LHM), kombiniert mit einer Dor-Fundoplikatio, ist das Standardverfahren zur Erstlinientherapie der primär idiopathischen Achalasie, da Metaanalysen (Level 1A Evidenz) die Überlegenheit gegenüber der Ballondilatation zeigen. Als neues, rein endoskopisches Therapieverfahren wird die perorale endoskopische Myotomie (POEM) intensiv klinisch erprobt. Langzeitergebnisse und die Ergebnisse einer prospektiv randomisierten Multicenterstudie zum Vergleich mit der LHM stehen allerdings aus.

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  1. Klinik & Poliklinik für Allgemein- und Viszeralchirurgie, Gefäß- und Kinderchirurgie, Universitätsklinik Würzburg, Zentrum Operative Medizin, Oberdürrbacher Straße 6, 97080, Würzburg, Deutschland

    B H A von Rahden

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  1. Allgemein-,Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Würzburg, Germany

    Christoph-Thomas Germer

  2. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany

    Tobias Keck

  3. ehem. Wissenschaftlich Medizinischer, Direktor Kreiskliniken Altötting-Burghausen, Burghausen, Germany

    Reinhart T. Grundmann

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von Rahden, B.H.A. (2017). Achalasie. In: Germer, CT., Keck, T., Grundmann, R. (eds) Evidenzbasierte Viszeralchirurgie benigner Erkrankungen. Evidenzbasierte Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53553-0_4

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