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2004, Number 1

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Rev Mex Cir Endoscop 2004; 5 (1)

Long esophageal myotomy by laparoscopy as a treatment for esophagus diffuse spasm. Results and technique description

Rojas DO, González AJM, Farrera GJ, Cervera SJA, Ramírez CC, Flores GLM, Presenda MF, Teramoto MO, Rodríguez DM, Hurtado RC, Vega BM

Language: Spanish
References: 22
Page: 17-24
PDF size: 140.82 Kb.


ABSTRACT

Objectives: To show the experience of long esophageal myotomy by laparoscopy as a treatment for esophagus diffuse spasm. Seat: Third level private hospitals, Mexico City. Design: Prospective, longitudinal, non-randomized, non-comparative, multicentered study. Material and methods: Nine patients underwent long esophageal myotomy by laparoscopy between October of 1993 and October of 2003. The following factors were analyzed: age, sex, medical background, pre and postoperative auxiliary diagnostic studies, surgical time, hospital stay, time of restoration to habitual activities, the surgical procedure morbidity-mortality, and symptomatology postoperative relief. Results: Five of the patients were female and 4 male, with an average age of 48.7 years old. The surgical time presented an average time of 3 hours. The postoperative esophageal transit with hydrosoluble contrast was normal, the patients tolerated a liquid diet during the firsts 24 hours and were discharge after 72 hours. The average period to return to their normal activities was of 9 days. No complications and mortality were reported. After a follow-up period of 10 years, the patients were free of symptoms. Conclusions: The results from ten years using the described surgical technique of long esophageal myotomy by laparoscopy is an effective and safe method that presents all the benefits of the least-invasive surgery.


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