Gockel I, Timm S, Sgourakis GG, Musholt TJ, Rink AD, Lang H
Achalasia-If Surgical Treatment Fails: Analysis of Remedial Surgery. [JOURNAL ARTICLE]
J Gastrointest Surg 2009 Oct 24.
INTRODUCTION: Heller myotomy leads to good-excellent long-term results in 90% of patients with achalasia and thereby has evolved to the "first-line" therapy. Failure of surgical treatment, however, remains an urgent problem which has been discussed controversially recently.
MATERIALS AND METHODS: A systematic review of the literature was performed to analyze the long-term results of failures after Heller's operation with emphasis on treatment by remedial myotomy.
DISCUSSION: Other reinterventions and their causes after failure of surgical treatment in patients with achalasia are discussed.
More from this journal |
