| Myotomy for achalasia: to wrap or not to wrap? | |
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MedLine Citation:
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PMID: 18959649 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One of the potential consequences of carrying out a Heller's myotomy for achalasia is gastro-oesophageal reflux. Whether it is frequent or severe enough to warrant the routine addition of a fundoplication to the operation is debated. In this prospective series of all patients undergoing a myotomy using a minimally invasive method the incidence of gastro-oesophageal reflux disease is examined. It was found that in 124 patients who had been followed for at least 6 months, whereas mild heartburn was common (51 patients; 41%), in only 10 patients (8.2%) was a proton pump inhibitor required and there were no patients whose reflux was not controlled using standard medical treatment. Peptic oesophagitis was an infrequent endoscopic finding with only 3 of 40 patients with no or mild heartburn having mild oesophagitis and no patient on a proton pump inhibitor having active peptic oesophagitis. These findings suggest that the addition of a fundoplication to a Heller's myotomy to prevent gastro-oesophageal reflux disease is not essential. |
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Authors:
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Richard J Cade |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: ANZ journal of surgery Volume: 78 ISSN: 1445-2197 ISO Abbreviation: ANZ J Surg Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-10-30 Completed Date: 2008-12-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101086634 Medline TA: ANZ J Surg Country: Australia |
Other Details:
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Languages: eng Pagination: 918-20 Citation Subset: IM |
Affiliation:
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St. Vincent's Hospital and Box Hill Hospital, Melbourne, Victoria, Australia. richardcade@ozemail.com.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Digestive System Surgical Procedures
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methods* Esophageal Achalasia / surgery* Fundoplication* Gastroesophageal Reflux / prevention & control* Humans Muscle, Smooth / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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