Surgical therapy of achalasia for prevention of reflux esophagitis
Kessler, B.; Stegemann, B.; Langhans, P.; Schwering, H.
Helvetica Chirurgica Acta 47(5): 533-536
1980
ISSN/ISBN: 0018-0181 PMID: 7204073 Document Number: 166098
Not only the conservative dilatation treatment achalasia is at disposal, but also the operative cardiomyotomy. The former treatment followed often by recurrent danger of perforation as well as both methods lead in a definite percentage of cases to refluxesophagitis. Therefore, in our department since 1973 a combination of cardiomyotomy and fundoplication are performed consecutively. By using this method the reflux is surely, according to our experiences, avoidable. The indication of conservative treatment is to be performed by inoperable patients.