| Minimally invasive Heller's myotomy in children: safe and effective. | |
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MedLine Citation:
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PMID: 19433168 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The aim of the study was to review a single institution experience of minimally invasive Heller's myotomy in pediatric patients with achalasia. METHODS: An institutional review board-approved retrospective review from 1999 to 2005 identified patients 18 years old and younger who underwent a minimally invasive Heller's myotomy for achalasia. RESULTS: Twenty-six patients were identified with a mean age of 15 (range, 4-18 years). There were 11 female and 15 male patients. There were 3 intraoperative complications (2 esophageal mucosal injuries and 1 aspiration). There was no mortality. All 26 surgeries were completed laparoscopically. Two patients had Dor fundoplication, whereas 23 patients had Toupet fundoplication. Average length of hospital stay was 2.7 days (range, 1-4 days) excluding the 3 patients with intraoperative complications and 3.5 days for all patients (range, 1-17 days). Postoperative follow-up ranged from 0 to 75 months (mean, 20 months). Postoperatively, one patient developed reflux symptoms (incidence 4%). Seven patients (27%) had recurrence of symptoms at a mean of 13 months (range, 1-66 months) after their operation. CONCLUSIONS: Laparoscopic Heller's myotomy with fundoplication is a safe and effective treatment of symptomatic achalasia in the pediatric population. Complications were low in this group of patients and comparable to other published reports in the literature. |
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Authors:
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Johanna R Askegard-Giesmann; Jayleen M Grams; Angela M Hanna; Corey W Iqbal; Swee Teh; Christopher R Moir |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 44 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-05-12 Completed Date: 2009-10-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 909-11 Citation Subset: IM |
Affiliation:
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Department of Surgery, Division of Pediatric Surgery, Mayo Clinic, Rochester, Minn 55905, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Esophageal Achalasia / surgery* Female Follow-Up Studies Fundoplication / methods Gastroesophageal Reflux / prevention & control, surgery Humans Intraoperative Complications Laparoscopy / methods* Male Retrospective Studies Surgical Procedures, Minimally Invasive Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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