Heller's cardiomyotomy with augmented Toupet's fundoplication immediate and long-term outcome
Chakrabandhu, B.; Yamada, S.; Chakrabandhu, T.
Journal of the Medical Association of Thailand 93(12): 1385-1390
2010
ISSN/ISBN: 0125-2208 PMID: 21344800 Document Number: 12869
Achalasia patients who underwent Heller cardiomyotomy with Toupet's fundoplication have excellent results in a previous report data. However, the result with open technique has not been reported in Thai. To study the immediate and long-term outcome of open transabdominal Heller cardiomyotomy with Toupet's fundoplication in Achalasia patients. Retrospective review of all achalasia patients who underwent open Heller cardiomyotomy with Toupet's fundoplication in Maharaj Nakorn Chiang Mai Hospital, Thailand during the past ten years (1997-2007). The data was analysis with descriptive statistics. Twenty-two cases (11 male) were included in this study. Mean age was 40 years. The mean duration of symptoms before surgery was 62.5 months. Ninety-one percent of patients were free from dysphagia immediately after operation. There was no early postoperative complication. Three patients had relapse symptom (14%). Mean follow-up time in the present study was 30 months. Open transabdominal Heller's cardiomyotomy with augmented Toupet's fundoplication done by experienced surgeons is an effective technique to treat achalasia patients in our center.
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