Laparoscopic Stapled Cardioplasty for End-Stage Achalasia
- 466 Downloads
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.
In this report, we describe an alternate approach, a cardioplasty, which was originally described by Heyrovsky in 1913.
The development of an angulated stapling device now makes this operation feasible by a laparoscopic approach.
This report highlights our technique for laparoscopic cardioplasty in patients with end-stage achalasia.
KeywordsAchalasia Laparoscopic cardioplasty Redo cardiomyotomy
- 9.Dehn TC, Slater M, Trudgill NJ, Safranek PM, Booth MI. Laparoscopic stapled cardioplasty for failed treatment of achalasia. Br J Surg 2012; DOI: 10.1002/bjs.8816.Google Scholar