13/10/2013 · Minimally invasive repair of Achalasia, partial Dor fundoplication. 10/01/2005 · The article by Richards et al 1 is a very interesting and well-conducted randomized, double-blind study concerning the results of laparoscopic treatment of esophageal achalasia. While comparing Heller myotomy plus Dor fundoplication versus Heller. Although some authors 13,14 argue that the Toupet partial fundoplication is more effective for prevention of reflux, there are many advocates for the Dor fundoplication after Heller myotomy. Some authors even go so far as to say the Dor fundoplication is a.
1. Lyass S, Thoman D, Steiner JP, et al. Current status of an antireflux procedure in laparoscopic Heller myotomy. Surg Endosc. 2003;17:554 –558. 2. Richards WO, Torquati A, Holzman MD, et al. Heller myotomy versus Heller myotomy with Dor fundoplication for achalasia: a prospective randomized double-blind clinical trial. PDF Surgical correction of achalasia using laparoscopic Heller myotomy with Dor fundoplication is argued to be the gold standard treatment for patients with achalasia. The goal of this technical report is to illustrate our preferred approach to patients with achalasia and to. 07/06/2012 · realización de la miotomia sobre el esófago y se finaliza el procedimiento realizando una fundoplicatura parcial por laparoscopia. www. Miotomia de Heller por Acalasiatoupet Héctor René Hazbón. Laparoscopic Heller Myotomy and Dor Fundoplication-UCSF, Lawrence Way MD - Duration: 7:37. Jonathan Carter, MD. 16/02/2012 · Dr. Lipham performs a minimally invasive Heller Myotomy with Dor Fundoplication. This laparoscopic procedure is generally performed for patients with Achalasia. Achalasia is a disorder where patients have difficulty swallowing secondary to absent esophageal motility and a hypertensive non-relaxing lower esophageal sphincter. eight weeks after laparoscopic Heller myotomy and Dor fundoplication, ingestion of 250 mL of barium demonstrated improved esophageal emptying with a 5 cm by 4 cm column at 1 minute and complete emptying by 5 minutes. 16. 24-hour pH monitoring is necessary to confirm an adequate antireflux barrier.
01/08/2001 · All patients had a laparoscopic Heller myotomy and Dor fundoplication as previously described. 2 The myotomy was planned to be 7 cm long, extending 1 to 2 cm onto the gastric wall. After completing the myotomy, the short gastric vessels were divided, and an anterior 180° Dor fundoplication was created using 2 parallel rows of sutures. 27/12/2011 · My provider did a Laparoscopic Heller Myotomy, Partial DOR Fundoplication.then an intraoperative endoscopy was done as well. suggestions on where to. Conclusions: Heller myotomy is currently the gold standard in the treatment of achalasia and should be performed with an antireflux procedure. In our series, we have found that there are fewer complications with Dor fundoplication, the proce-dure is easier implying shorter surgical time, and it offers the. BACKGROUND: Our prior randomized controlled trial of Heller myotomy alone versus Heller plus Dor fundoplication for achalasia from 2000 to 2004 demonstrated comparable postoperative resolution of dysphagia but less gastroesophageal reflux after Heller plus Dor. Patient-reported outcomes are needed to determine whether the findings are sustained. We prospectively compared anterior fundoplication Dor with partial posterior fundoplication Toupet in patients undergoing laparoscopic Heller myotomy. Methods A multicenter, prospective, randomized-controlled trial was initiated to compare Dor versus Toupet fundoplication after laparoscopic Heller.
TY - JOUR. T1 - Laparoscopic Heller myotomy and Dor fundoplication for achalasia. T2 - Analysis of successes and failures. AU - Patti, M. G. AU - Molena, D. 01/01/2017 · Until further data are collected, we still believe that our randomized clinical trial gives the best evidence that Heller-Dor fundoplication gives the same relief of dysphagia with a much lower rate and severity of pathologic esophageal acid exposure than does Heller myotomy alone and is our procedure of choice for patients with achalasia.
Azevedo et al. Cicatrização da Miotomia de Heller 349 Vol. 31 - Nº 6, Nov. / Dez. 2004 Artigo Original CICATRIZAÇÃO DA MIOTOMIA DE HELLER POR ACESSO VIDEOLAPAROSCÓPICO COM E SEM FUNDOCARDIOPLASTIA DE DOR ASSOCIADA, EM PORCOS WOUND HEALING OF LAPAROSCOPIC HELLER’S MYOTOMY WITH AND WITHOUT AN ADDED DOR’S FUNDOPLICATION. 07/07/2017 · Purpose Although laparoscopic Heller myotomy and Dor fundoplication LHD is widely performed to address achalasia, little is known about the learning curve for this technique. We assessed the learning curve for performing LHD. Methods Of the 514 cases with LHD performed between August 1994 and March 2016, the surgical outcomes of. 24/10/2016 · A retrospective comparison between Nissen and Dor fundoplication after laparoscopic Heller myotomy for achalasia. Materials and Methods: From 1998 to 2004 a first group of 48 patients underwent Heller myotomy and Nissen fundoplication for idiopathic achalasia HN group. 09/05/2018 · Objective: We sought to determine the impact of the addition of Dor fundoplication on the incidence of postoperative gastroesophageal reflux GER after Heller myotomy. Summary Background Data: Based only on case series, many surgeons believe that an. Laparoscopic Heller myotomy and Dor fundoplication Indications 70 year Caucasian old man with daily dysphagia for liquids and solids for several years, worsening in the past year, non-cardiac chest pain and chronic dry cough while swallowing, but no heartburn or weight loss.
Request PDF on ResearchGate Heller Myotomy Versus Heller Myotomy With Dor Fundoplication for Achalasia: A Prospective Randomized Double-Blind Clinical Trial We sought to determine the impact of the addition of Dor fundoplication on the incidence of postoperative gastroesophageal reflux GER after Heller myotomy. Based only on case series. No significant difference in surgical outcome between the 2 techniques with respect to postoperative lower-esophageal sphincter pressure or postoperative dysphagia score was observed. Conclusions: Heller Myotomy plus Dor Fundoplication was superior to Heller myotomy alone in regard to the incidence of postoperative GER.
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