Pablo Omelanczuk, Martin Berducci. Hospital Italiano de Mendoza
Objective: Aim of this stud was to review our experience with laparoscopic Heller Dor Myotomy. Disphagia constitutes the main symptom. Diagnosis is performed by means of esophageal manometry.
Materials and Method: Over a period of 15 years, 180 patients were treated with Heller myotomy plus Dor fundoplication laparoscopically. All patients had lost weight, and there was a prevalence of females with an average age of 46. Twenty five patients had Chagas disease. They were all assessed with serial X-rays, endoscopy, esophageal manometry, and their symptoms were assessed with a 0-4 score, 4 being the most severe.
Results: There was no conversion or mortality. In 3 patients the mucosa was perforated during myotomy. The mucosa was sutured without altering the result of the treatment. Average hospital stay was 36 hours. One patient had to be reoperate because of esophageal perforation with peritonitis. Sixty patients were followed up with manometric control and pH-probe testing, and only 10 % of those had pathologic reflux.
Conclusions: Laparoscopic treatment of achalasia is possible and reproducible, while reducing the morbility of laparotomy with relieve of patients symptoms.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88262
Program Number: P445
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster