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Macau Periodical Index (澳門期刊論文索引)
- Author
- Wu, Mingbai; Zhang, Liwei; Zhu, Hui
- Title
- Study of the heller's operation combined with esophagofundopexy and dialation of the forward effect of achalasia
- Journal Name
- 澳門醫學雜誌
- Pub. Info
- 2005年12月26日, Vol.5, No.4, pp. 248-249
- Keyword
- Achalasia；Heller's operation combined with antireflux procedure; Dialation
- Abstract
- Objective: To study the therapeutic forward effects of Heller esophagogastric myotomy with antireflux procedure versus dialation in the treatment of achalasia. Method: From December 1983 to May 2004, 54 patients with achalasia were treated in our hospital. 26 cases of this series underwent Heller esophagogastric myotomy with antireflux procedure and 28 cases were treated with dialation. Result: Dysphagia was completely or partially relieved in all patients treated with Heller esophagogastric myotomy with antireflux procedure and no patients exhibited refluxed esophagitis. 26 cases of this series underwent Heller esophagogastric myotomy with antireflux procedure and were followed-up from 10 months to 15 years. 28 cases were treated with dialation and followed-up from 2 to 10 years. 26 cases treated with dilatation had satisfied result and the effective rate is 92.9%. The occurrence rate of refluxed esophagitis is 8%. Conclusion: The effect of transabdominal Heller esophagogastric myotomy with antireflux procedure is better than dialation in treatment of achalasia. As dilatation is easy to be performed, it can also be used in selected cases. Paragraph Headings: 1. Clinical Data 2. Result 3. Discussion Tables: 1. The long-term effects of Heller esophagogastric myotomy with hang and fixation of gastric fund and esophagus and pyloroplasty in the treatment of achalasia