Laparoscopic Stapled Cardioplasty for End-Stage Achalasia

Ewen A. Griffiths, Peter G. Devitt, Glyn G. Jamieson, Jennifer C. Myers, Sarah K. Thompson

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Introduction: The standard of care for achalasia is laparoscopic Heller's cardiomyotomy. This procedure achieves satisfactory and long-standing results in over 85 % of patients. However, in 10-15 % of patients, esophageal function will progressively deteriorate, and up to 5 % will develop end-stage achalasia. Options in these difficult patients are limited, and include redo cardiomyotomy, repeat dilatation, and in severe cases, esophagectomy. Methods: In this report, we describe an alternate approach, a cardioplasty, which was originally described by Heyrovsky in 1913. Results: The development of an angulated stapling device now makes this operation feasible by a laparoscopic approach. Conclusion: This report highlights our technique for laparoscopic cardioplasty in patients with end-stage achalasia.

Original languageEnglish
Pages (from-to)997-1001
Number of pages5
JournalJournal of Gastrointestinal Surgery
Volume17
Issue number5
DOIs
Publication statusPublished - 1 Jan 2013
Externally publishedYes

Keywords

  • Achalasia
  • Laparoscopic cardioplasty
  • Redo cardiomyotomy

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