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Dr. Nasser Abd El raouf Ali Zaher :: Publications:

Title:
Laparoscopic Heller’s Cardiomyotomy for Achalasia of the Cardia with adding an antireflux procedure to provide better surgical outcomes
Authors: Nasser A. Zaher MD; El-Sayed A. Abd El-Mabood, MD; Refaat S. Salama, a MD
Year: 2014
Keywords: Esophagus, Achalasia cardia, Laparoscopy, Heller’s Cardiomyotomy, Antireflux procedure
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: International
Paper Link: Not Available
Full paper Not Available
Supplementary materials Not Available
Abstract:

Purposes: Find out advantages of Laparoscopic Heller’s Cardiomyotomy & how to give better surgical outcomes by adding an antireflux procedure. Background: Achalasia cardia is progressive in nature & don’t have any definitive cure. Esophageal cardiomytomy forms the backbone of the treatment. Over a period of last few years; minimal access surgery is gaining popularity as primary modality of achalasia management. Patients and methods: The study included 36 patients; 7 (19.5%) ≤ 20years old, 24 (66.8%) between 20-35 years old and 5 (13.8%) above 35 years old. All patients underwent clinical evaluation, laboratory assessment, upper GIT Endoscopy & Esophageal manometry. All patients undergoing laparoscopic cardiomytomy; followed by either a modified Toupet fundoplication (270° posterior fundoplication, or a Dor fundoplication (180° anterior fundoplication). Results: There was satisfactory relief of Dysphagia in all surgery performed (P-Value =0.011); but low incidence of postoperative reflux was noticed only in modified Toupet fundoplication (P-Value

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