Please use this identifier to cite or link to this item:
Scopus Web of ScienceĀ® Altmetric
Type: Journal article
Title: Laparoscopic cardiomyotomy and anterior partial fundoplication for achalasia
Author: Ackroyd, R.
Watson, D.
Devitt, P.
Jamieson, G.
Citation: Surgical Endoscopy: surgical and interventional techniques, 2001; 15(7):683-686
Publisher: Springer-Verlag
Issue Date: 2001
ISSN: 0930-2794
Statement of
R. Ackroyd, D.I. Watson, P.G. Devitt and G.G. Jamieson
Abstract: Background: Although surgical myotomy is considered the gold standard, many different treatments have been advocated for achalasia. There are now a number of reports of cardiomyotomy being performed laparoscopically. Methods: This is a prospective study of 82 patients (47 male and 35 female; median age, 47 years) who underwent laparoscopic cardiomyotomy and anterior partial fundoplication for achalasia. Results: Four of the 82 procedures required conversion to open surgery, all during the early stages of the series, and two required early reoperation for a postoperative problem. The median operating time was 80 min (range, 32-210). the median hospital stay was 3 days (range, 2-18), and normal physical activity was resumed after a median of 2 weeks (range, 3 days to 12 weeks). Follow-up ranged up to 8 years (median, 2). Postoperatively, symptoms of dysphagia (to both solids and liquids), heartburn, odynophagia, chest pain, regurgitation, and cough were significantly reduced in all patients. The median overall satisfaction score (graded from 0 to 10, with 10 representing total satisfaction) was 9 (range, 0-10), and 90% of patients were highly satisfied with the surgical outcome. Conclusion: Laparoscopic cardiomyotomy with anterior partial fundoplication achieves excellent symptomatic relief for patients with achalasia, and it can be performed with minimal morbidity.
Keywords: Muscle, Smooth
Esophageal Achalasia
Treatment Outcome
Follow-Up Studies
Aged, 80 and over
Middle Aged
DOI: 10.1007/s004640080037
Published version:
Appears in Collections:Aurora harvest 7
Surgery publications

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.