Giovanni Zaninotto, Mario Costantini, Giuseppe Portale, Giorgio Battaglia, Daniela Molena, Alessanda Carta, Michela Costantino, Loredana Nicoletti, Ermanno Ancona
OBJECTIVE: To assess the causes of failure of laparoscopic Heller myotomy and to verify whether endoscopic pneumatic dilation is a feasible treatment. SUMMARY BACKGROUND DATA: Laparoscopic Heller myotomy has proved an effective treatment for esophageal achalasia, with good or excellent results in 90% of patients. The treatment of failures remains controversial, however. METHODS: From 1992 to 1999, 113 patients underwent laparoscopic Heller myotomy for esophageal achalasia...
February 2002: Annals of Surgery