Laparoscopic Heller myotomy with angle of his reconstruction: an alternative technique to partial fundoplication in the treatment of achalasia
Ramacciato, G.; D'Angelo, F.; Aurello, P.; Mercantini, P.; Fernandes, E.; Bellagamba, R.
Chirurgia Italiana 56(4): 489-494
2004
ISSN/ISBN: 0009-4773 PMID: 15452986 Document Number: 567895
The aim of the study was to assess laparoscopic myotomy associated with angle of His reconstruction as an antireflux procedure in the treatment of achalasia. Thirty-one patients underwent a laparoscopic Heller myotomy; in 17 cases this was combined with an anterior partial funduplication, while in 14 cases the angle of His was reconstructed as an antireflux procedure. No postoperative morbidity or mortality were recorded in either group. and no statistical significance was found between the two groups in terms of recurrent dysphagia, postoperative reflux or medical therapy. In conclusion, enhancing the angle of His as an antireflux mechanism proved as effective as partial anterior fundoplication in reducing the incidence of recurrent achalasia.