Advertisement

Conventional Cardiomyotomy in Achalasia

  • Karim A. Gawad
  • Dieter C. Broering
  • Christoph Busch

Abstract

Achalasia is characterized manometrically by an incomplete relaxation of the lower esophageal sphincter. This “outflow obstruction” results in a motility disorder of the tubulary esophagus, in most cases aperistalsis. However, an appearance as seen in diffuse esophageal spasm can also occur. Medical therapy shows short-term benefit but no long-term solution. Endoscopic dilatation has been established as primary therapy. However usually repetitive dilatations even in short intervals are necessary. In comparison to surgery dilatation is a less controllable procedure. The risk of perforation is always given, especially in cases of recurrent application. Surgical therapy on the other hand provides the opportunity for a controlled myotomy followed by an antireflux procedure with a high rate of permanent success. Recent publications support an early surgical approach because cure can be provided and a partial remission of the motility disorder can be noticed.

Keywords

Blunt Dissection Outflow Obstruction Back Wall Esophageal Wall Endoscopic Dilatation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Steinkopff Verlag 2009

Authors and Affiliations

  • Karim A. Gawad
    • 1
  • Dieter C. Broering
    • 2
  • Christoph Busch
    • 1
  1. 1.Department of General, Visceral and Thoracic SurgeryUniversity Hospital Hamburg EppendorfHamburgGermany
  2. 2.Department of General and Thoracic SurgeryChristian-Albrechts-University KielKielGermany

Personalised recommendations