Experiencia del manejo quirúrgico de la acalasia esofágica en un hospital de alta especialidad
Introduction: Achalasia is a primary esophageal motor disorder. The most common symptoms are: dysphagia, chest pain, re fl ux and weight loss. The esophageal manometry is the standard for diagnosis. The aim of this paper is to determine the effectiveness of the surgical manage ment in patients with...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2015 |
| País: | México |
| Institución: | Centro Médico Nacional Siglo XXI |
| Repositorio: | Redalyc-CMN |
| OAI Identifier: | oai:redalyc.org:457744935016 |
| Acceso en línea: | https://www.redalyc.org/articulo.oa?id=457744935016 |
| Access Level: | acceso abierto |
| Palabra clave: | Medicina Surgical procedures Esophageal achalasia Gastroesophageal reflux Operative Esophagoscopy |
| Sumario: | Introduction: Achalasia is a primary esophageal motor disorder. The most common symptoms are: dysphagia, chest pain, re fl ux and weight loss. The esophageal manometry is the standard for diagnosis. The aim of this paper is to determine the effectiveness of the surgical manage ment in patients with achalasia in a tertiary care hospital. Methods: A case series consisting of achalasia patients, treated sur gically between January and December of 2011. Clinical charts were reviewed to obtain data and registries of the type of surgical procedure, morbidity and mortality. Results: Fourteen patients were identi fi ed, with an average age of 49.1 years. The most common symptoms were: dysphagia, vomiting, weight loss and pyrosis. Eight open approaches were performed and six by laparoscopy, with an average length of cardiomyotomy of 9.4 cm. Eleven patients received an antire fl ux procedure. The effectiveness of proce dures performed was 85.7 %. Conclusions: Surgical management offered at this tertiary care hospital does not differ from that reported in other case series, giving effective ness and safety for patients with achalasia. |
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