European Surgery

, Volume 43, Issue 4, pp 244–246

Selected Commentary to "Pneumatic dilation versus laparoscopic Heller's myotomy for idiopathic achalasia"

Comments on a prospective, multicentric, randomized European clinical trial
Selected Commentary


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Boeckxstaens GE, Annese V, Bruley des Varannes S, Chaussade S, Costantini M, Cuttitta A, Elizalde JI, Fumagalli U, Gaudric M, Rohof WO, Smout AJ, Tack J, Zwinderman AH, Zaninotto G, Busch OR. Pneumatic dilation versus laparoscopic Heller's myotomy for idiopathic achalasia. N Engl J Med 2011;364:1807–16PubMedCrossRefGoogle Scholar
  2. Eckardt VF. Clinical presentations and complications of achalasia. Gastrointest Endosc Clin N Am 2001;11:281–92PubMedGoogle Scholar
  3. Zaninotto G, Costantini M, Molena D, Buin F, Carta A, Nicoletti L, Ancona E. The treatment of esophageal achalasia with laparoscopic Heller myotomy and Dor partial fundoplication: prospective evaluation of 100 consecutive patients. J Gastrointest Surg 2000;4:282–9PubMedCrossRefGoogle Scholar
  4. Zaninotto G, Costantini M, Rizzetto C, Zanatta L, Guirroli E, Portale G, Nicoletti L, Cavallin F, Battaglia G, Ruol A, Ancona E. Four hundred laparoscopic myotomies for esophageal achalasia: a single centre experience. Ann Surg 2008;248:986–93PubMedCrossRefGoogle Scholar
  5. Patti MG, Molena D, Fisichella PM, et al. Laparoscopic Heller myotomy and Dor fundoplication for achalasia: analysis of successes and failures. Arch Surg 2001;136:870–7PubMedCrossRefGoogle Scholar
  6. Campos GM, Vittinghoff E, Rabl C, et al. Endoscopic and surgical treatments for achalasia: a systematic review and meta-analysis. Ann Surg 2009;249:45–57PubMedCrossRefGoogle Scholar
  7. Eckardt VF, Gockel I, Bernhard G. Pneumatic dilation for achalasia: late results of a prospective follow up investigation. Gut 2004;53:629–33PubMedCrossRefGoogle Scholar
  8. Costantini M, Zaninotto G, Guirroli R, Rizzetto C, Portale G, Ruol A, Nicoletti L, Ancona E. Laparoscopic Heller-Dor operation remains an effective treatment for esophageal achalasia at a minimum six-year follow-up. Surg Endosc 2005;19:345–51PubMedCrossRefGoogle Scholar
  9. Patti MG, Feo CV, Arcerito M, et al. Effects of previous treatment on results of laparoscopic Heller myotomy for achalasia. Dig Dis Sci 1999;44:2270–6PubMedCrossRefGoogle Scholar
  10. Smith CD, et al. Endoscopic therapy for achalasia before Heller myotomy results in worse outcomes than Heller myotomy alone. Ann Surg 2006;243:579–84PubMedCrossRefGoogle Scholar
  11. Gockel I, Junginger T, Bernhard G, Eckardt VF. Heller myotomy for failed pneumatic dilation in achalasia: how effective is it? Ann Surg 2004;239:371–7PubMedCrossRefGoogle Scholar
  12. Portale G, Costantini M, Rizzetto C, Guirroli E, Ceolin M, Salvador R, Ancona E, Zaninotto G. Long-term outcome of laparoscopic Heller-Dor surgery for esophageal acalasia: possibile detrimental role of previous endoscopic treatment. J Gastrointest Surg 2005;9:1332–9PubMedCrossRefGoogle Scholar
  13. Tuset JA, Lujan M, Huguet JM, Canelles P, Medina E. Endoscopic pneumatic balloon dilation in primary achalasia: predictive factors, complications, and long-term follow-up. Dis Esophagus 2009;22:74–9PubMedCrossRefGoogle Scholar
  14. Farhoomand K, Connor JT, Richter JE, et al. Predictors of outcome of pneumatic dilation in achalasia. Clin Gastroenterol Hepatol 2004;2:389–94PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Department of Surgical and Gastroenterological SciencesClinica Chirurgica 1, University of Padova School of MedicinePadovaItaly
  2. 2.ULSS 12 Venice, Department of SurgerySts Giovanni e Paolo HospitalVeniceItaly

Personalised recommendations