Journal of Gastrointestinal Surgery

, Volume 17, Issue 5, pp 997–1001 | Cite as

Laparoscopic Stapled Cardioplasty for End-Stage Achalasia

  • Ewen A. Griffiths
  • Peter G. Devitt
  • Glyn G. Jamieson
  • Jennifer C. Myers
  • Sarah K. Thompson
How I do it

Abstract

Introduction

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.

Methods

In this report, we describe an alternate approach, a cardioplasty, which was originally described by Heyrovsky in 1913.

Results

The development of an angulated stapling device now makes this operation feasible by a laparoscopic approach.

Conclusion

This report highlights our technique for laparoscopic cardioplasty in patients with end-stage achalasia.

Keywords

Achalasia Laparoscopic cardioplasty Redo cardiomyotomy 

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Copyright information

© The Society for Surgery of the Alimentary Tract 2012

Authors and Affiliations

  • Ewen A. Griffiths
    • 1
  • Peter G. Devitt
    • 1
  • Glyn G. Jamieson
    • 1
  • Jennifer C. Myers
    • 1
  • Sarah K. Thompson
    • 1
    • 2
  1. 1.Discipline of SurgeryUniversity of AdelaideAdelaideAustralia
  2. 2.Department of SurgeryRoyal Adelaide HospitalAdelaideAustralia

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