Evolution of the minimally invasive treatment of esophageal achalasia |
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Authors: | Bello Brian Herbella Fernando A Patti Marco G |
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Institution: | (1) Department of Surgery, University of Chicago Pritzker School of Medicine, 5841 South Maryland Avenue, MC 5031, Room G-201, Chicago, IL 60637, USA; |
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Abstract: | Thanks to the advent of laparoscopic techniques, the last decade and a half have witnessed a radical change in the treatment
of esophageal achalasia. Because of the high success rate of the laparoscopic Heller myotomy, surgery has now become in many
centers the first modality of treatment for achalasia. This shift in the treatment algorithm reflects the fact that laparoscopic
Heller myotomy with partial fundoplication outperforms nonsurgical approaches, such as balloon dilatation and intrasphincteric
botulinum toxin injection. |
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Keywords: | |
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