| Title | Achalasia-If Surgical Treatment Fails: Analysis of Remedial Surgery. | | Author(s) | Gockel I, Timm S, Sgourakis GG, Musholt TJ, Rink AD, Lang H | | Institution | Department of General and Abdominal Surgery, Johannes Gutenberg-University of Mainz, Langenbeckstr. 1, 55131, Mainz, Germany, gockel@ach.klinik.uni-mainz.de. | | Source | J Gastrointest Surg 2009 Oct 24. | | Abstract | 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. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 19856034 |
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