1 Mar 2021Article
Surgical myotomy and anterior fundoplication for achalasia disease. Short-term outcomes
Orçun Yalav 1Uğur Topal 1Burak Yavuz 1Serdar Gümüş 2Ahmet Rencüzoğullari 1
Affiliations
Article Info
1 Department of General Surgery, Cukurova University Faculty of Medicine, Sarıcam, Adana, Turkey
2 Department of Surgical Oncology, Cukurova University Faculty of Medicine, Sarıcam, Adana, Turkey
Ann. Ital. Chir., 2021, 92(2), 149-154;
Published: 1 Mar 2021
Copyright © 2021 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
AIM: Achalasia is a well-known disease among esophageal motility disorders, and all treatments for this disease are aimed at relaxing the lower esophageal sphincter (LES). Recently, endoscopic and surgical myotomy techniques are used more frequently because they give better results than other conservative techniques. In this study, we aimed to present the early results of surgical myotomy and anterior fundoplication techniques in the treatment of achalasia-related dysphagia. METHODS: Our study enrolled patients who operated with laparoscopic myotomy and anterior fundoplication for achalasia between 2014 and 2019. Patients’ demographic and clinical properties, operative details, and postoperative shortterm outcomes were retrospectively analyzed. RESULTS: A total of 25 patients (11 women, 14 men) were enrolled. The mean age was 40.72›13.6 (range 18-66) years. The mean LES pressure was 26.6›11.2 (range 16-50) mmHg. The mean esophageal myotomy length was 7.83›1.88 (range 7-12 cm). Esophagus perforation developed in one patient during myotomy. The mean time to start oral feeding was 2.56›0.76 (range 2-4) days, and the mean length of hospital stay was 4.96›1.17 (range 3-8) days. During the follow-up, symptom regression was observed in 92 % of patients at the end of a 1-year. CONCLUSION: According to our results and available literature, myotomy with Dor fundoplication is an effective technique that can be used to treat achalasia disease.
Keywords
- Achalasia
- Dor fundoplication
- Heller myotomy