The article by Richards et al1 is a very interesting and well-conducted randomized, double-blind study concerning the results of laparoscopic treatment of esophageal achalasia. While comparing Heller myotomy plus Dor fundoplication versus Heller myotomy alone, the authors concluded that the former technique is superior in regard to control the incidence of episodes of postoperative gastroesophageal reflux evaluated with 24-hour pH monitoring study. Richards et al analyze one of the major problem concerning the surgical treatment of esophageal achalasia, that is, the impact of gastroesophageal reflux that follows Heller myotomy, while the authors are not concerned about recurrent achalasia, which, in our opinion, is the real problem after treatment.

Heller myotomy versus heller myotomy with Dor fundoplication for achalasia / Ramacciato, Giovanni; D'Angelo, Francesco; DEL GAUDIO, M; Ercolani, G; Aurello, Paolo. - In: ANNALS OF SURGERY. - ISSN 0003-4932. - 243(3):(2006), pp. 426-427. [10.1097/01.sla.0000136940.32255.51]

Heller myotomy versus heller myotomy with Dor fundoplication for achalasia.

RAMACCIATO, Giovanni;D'ANGELO, Francesco;AURELLO, Paolo
2006

Abstract

The article by Richards et al1 is a very interesting and well-conducted randomized, double-blind study concerning the results of laparoscopic treatment of esophageal achalasia. While comparing Heller myotomy plus Dor fundoplication versus Heller myotomy alone, the authors concluded that the former technique is superior in regard to control the incidence of episodes of postoperative gastroesophageal reflux evaluated with 24-hour pH monitoring study. Richards et al analyze one of the major problem concerning the surgical treatment of esophageal achalasia, that is, the impact of gastroesophageal reflux that follows Heller myotomy, while the authors are not concerned about recurrent achalasia, which, in our opinion, is the real problem after treatment.
2006
Heller; myotomy
01 Pubblicazione su rivista::01a Articolo in rivista
Heller myotomy versus heller myotomy with Dor fundoplication for achalasia / Ramacciato, Giovanni; D'Angelo, Francesco; DEL GAUDIO, M; Ercolani, G; Aurello, Paolo. - In: ANNALS OF SURGERY. - ISSN 0003-4932. - 243(3):(2006), pp. 426-427. [10.1097/01.sla.0000136940.32255.51]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/233653
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