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Laparoscopic Stapled Cardioplasty for End-Stage Achalasia

Journal of Gastrointestinal Surgery volume 17, pages 997–1001 (2013)Cite this article

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.

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Affiliations

  1. Discipline of Surgery, University of Adelaide, Adelaide, South Australia, Australia

    Ewen A. Griffiths, Peter G. Devitt, Glyn G. Jamieson, Jennifer C. Myers & Sarah K. Thompson

  2. Department of Surgery, Royal Adelaide Hospital, Level 5, Eleanor Harrald Building, Adelaide, South Australia, 5000, Australia

    Sarah K. Thompson

Authors
  1. Ewen A. Griffiths
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  2. Peter G. Devitt
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  3. Glyn G. Jamieson
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  4. Jennifer C. Myers
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  5. Sarah K. Thompson
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Corresponding author

Correspondence to Sarah K. Thompson.

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Griffiths, E.A., Devitt, P.G., Jamieson, G.G. et al. Laparoscopic Stapled Cardioplasty for End-Stage Achalasia. J Gastrointest Surg 17, 997–1001 (2013). https://doi.org/10.1007/s11605-012-2111-3

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  • DOI: https://doi.org/10.1007/s11605-012-2111-3

Keywords

  • Achalasia
  • Laparoscopic cardioplasty
  • Redo cardiomyotomy