Miotomia laparoscopica secondo Heller per acalasia esofagea. C’è bisogno di una fundoplicatio?

Patti, Marco G. and Fisichella, Piero Marco (2009) Miotomia laparoscopica secondo Heller per acalasia esofagea. C’è bisogno di una fundoplicatio? Il giornale di chirurgia, 30 (11/12). pp. 472-475. ISSN 1971-145X

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Abstract

The last decade has witnessed radical changes in the treatment of esophageal achalasia due to the development of minimally invasive techniques. Because of the high success rate of the laparoscopic Heller myotomy, a radical shift in the treatment algorithm of these patients has occurred, and today this is the preferred treatment modality for achalasia. This remarkable change is due to the recognition by gastroenterologists and patients that a laparoscopic Heller myotomy outperforms pneumatic dilatation and intra-sphincteric injection of botulinum toxin injection. While there is agreement about the technique of the myotomy per se, some questions still linger about the need for a fundoplication after the myotomy. The following review describes the data present in the literature in order to identify the best procedure that can achieve relief of dysphagia while avoiding development of gastroesophageal reflux.

Item Type:	Article
Uncontrolled Keywords:	Acalasia esofagea, Manometria, Miotomia laparoscopica secondo Heller, Fundoplicatio laparoscopica, Dilatazione pneumatica, Tossina botulinica
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	23 Feb 2016 14:48
Last Modified:	23 Feb 2016 14:48
URI:	http://eprints.bice.rm.cnr.it/id/eprint/6455

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