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Achalasia—If Surgical Treatment Fails: Analysis of Remedial Surgery

  • DeMeester Festschrift
  • Published:
Journal of Gastrointestinal Surgery Aims and scope

Abstract

Introduction

Heller myotomy leads to good–excellent long-term results in 90% of patients with achalasia and thereby has evolved to the “first-line” therapy. Failure of surgical treatment, however, remains an urgent problem which has been discussed controversially recently.

Materials and Methods

A systematic review of the literature was performed to analyze the long-term results of failures after Heller’s operation with emphasis on treatment by remedial myotomy.

Discussion

Other reinterventions and their causes after failure of surgical treatment in patients with achalasia are discussed.

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Authors and Affiliations

  1. Department of General and Abdominal Surgery, Johannes Gutenberg-University of Mainz, Langenbeckstr. 1, 55131, Mainz, Germany

    Ines Gockel, Stephan Timm, George G. Sgourakis, Thomas J. Musholt, Andreas D. Rink & Hauke Lang

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  1. Ines Gockel
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  2. Stephan Timm
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Correspondence to Ines Gockel.

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Gockel, I., Timm, S., Sgourakis, G.G. et al. Achalasia—If Surgical Treatment Fails: Analysis of Remedial Surgery. J Gastrointest Surg 14 (Suppl 1), 46–57 (2010). https://doi.org/10.1007/s11605-009-1018-0

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