medigraphic.com
ISSN 1665-2576 (Print)

2010, Number 3

<< Back

Rev Mex Cir Endoscop 2010; 11 (3)

Achalasia and Fitz-Hugh-Curtis syndrome simultaneous: laparoscopic resolution. Presentation of a case and review of the literature

Ramírez CG, De la Peña MS, Liho NA

Language: Spanish
References: 30
Page: 161-165
PDF size: 374.54 Kb.


ABSTRACT

Introduction: The primary motor disorders of the esophagus (TMPE) include a set of motor abnormalities of unknown etiology, whose expression etiopathogenic, pathophysiologic and clinical confined to this body, without relying on other systemic diseases. Achalasia of the esophagus is the most common primary disorder of esophageal motility. It is characterized by lack of relaxation of lower esophageal sphincter (LES) and esophageal body aperistalsis during swallowing caused by degeneration of the myenteric nerve plexus. Clinical case: We report a 60 years old female which started eight months ago of their income with progressive, dysphagia, drooling, regurgitation and weight loss, with moderate intermittent pain in right hypochondrium, is performed esophagogram termination finding pen tip, endoscopy corroborating difficulty in moving towards the stomach. Manometry was performed to demonstrate the lack of lower esophageal sphincter relaxation, the patient undergoes a previous myotomy with Dor anterior fundoplication (Zaaijer technique) by laparoscopy. As discovery is a syndrome of Fitz-Hugh-Curtis. Discussion: The most important study for the diagnosis of achalasia is manometry and Zaaijer procedure by laparoscopy is the procedure of choice. Conclusions: This procedure is to lower mortality rate for patients with achalasia, we recommend the use of colors intraoperative that can identify perforations early.


REFERENCES

  1. Corti RE. Bases fisiopatológicas de los trastornos motores primarios del esófago. Gastr Latinoam 2005; 16: 105-108.

  2. Zundel N, Chousleb E, Arias F, Roversi MA, Szomstein S, Higa G et al. Estado actual de la cirugía de mínima invasión en el tratamiento de la acalasia, Asociación Mexicana de Cirugía Endoscópica, A.C. 2003; 4: 173-177.

  3. Felmer O, Cárcamo C. Acalasia de esófago. Informe de un caso y revisión de la literatura. Cuad Cir 2006; 20: 52-58.

  4. León P, Csendes A, Braghetto I, Lasen J, Robles J. Acalasia en obesos mórbidos. Reporte de casos. Rev Chilena de Cirugía 2010; 62: 172-174.

  5. Díaz A, Artieda C, Aguilar R, Yárnoz C, Viana S, Fernández L et al. Tratamiento quirúrgico de la acalasia de esófago en estadio avanzado. Rev Chilena de Cirugía 2008; 60: 511-515.

  6. Soto A, Bandera A, Morales MG, Del Pozzo JA, Luna J. Síndrome de Fitz-Hugh-Curtis y colelitiasis, asociación patológica y diagnóstico diferencial. Reporte de un caso. Cirujano General 2006; 28: 118-121.

  7. Ricci AP, Solà DV, Pardo SJ. Síndrome de Fitz-Hugh-Curtis como hallazgo durante cirugía ginecológica. Rev Chil Obstet Ginecol 2009; 74: 189-193.

  8. Roy B, Tulandi T. Fitz-Hugh-Curtis syndrome. J Obstet Gynaecol Can 2006; 28: 859.

  9. Tajiri T, Tate G, Iwaku T, Takeyama N, Fusama S, Sato S et al. Right pleural efussion in Fitz-Hugh-Curtis syndrome. Acta Med Okayama 2006; 60: 289-294.

  10. Nadja G, Liana R, Jeffrey R. Fitz-Hugh-Curtis syndrome: A diagnosis to consider in women with right upper quadrant pain. Cleveland Clinic Journal of Medicine 2004; 71: 233-239.

  11. Moreno M, Pereira F, Alvarado A, Rojano M, Herrera J. Esó­fago-cardiomiotomía laparoscópica para el tratamiento de la acalasia. Experiencia en un hospital mexicano, Asociación Mexicana de Cirugía Endoscópica, A.C. 2004; 5: 29-37.

  12. Okike N, Payne WS, Neufeld DM, Bernatz PE, Pairolero PC, Sanderson DR. Esophagomyotomy versus forceful dilation for achalasia of the esophagus. Results in 899 patients. Ann Thorac Surg 1979; 28: 119-125.

  13. Heller E. Extramukose karkioplastic beim cronisken kardiospasmus mit dilatation des oesophagus. Mitt Greageb Med Chir 1914; 27: 141-149.

  14. Zaaijer JH. Cardiospasm in the aged. Ann Surg 1923; 77: 615-617.

  15. Shimi S, Nathanson LK, Cuschieri A. Laparoscopic cardiomyotomy for achalasia. JR Coll Surg Edinb 1991; 36: 152-154.

  16. Pellegrini C, Wetter LA, Patti M, Leichter R, Mussan G, Mori T et al. Thoracoscopic esophagomyotomy: initial experience with a new approach for the treatment of achalasia. Ann Surg 1992; 216: 291-296.

  17. Perrier JP, Fernández M, Sosa MC. Tratamiento quirúrgico de la acalasia y la opción de la cirugía laparoscópica. Cir Uruguay 2000; 70: 36-44.

  18. Zaninotto G, Costantini M, Rizzetto C, Ancona E. Acalasia: estrategias terapéuticas. Cir Esp 2004; 75: 117-122.

  19. Ying C, Ming L, Wei C, Ni C, Qi Z, Ke S. Selection and evaluation of three interventional procedures for achalasia based on long-term follow-up. World J Gastroenterol 2003; 9: 2370-2373.

  20. Nagammapudur S, Jeffrey H. Minimally invasive surgery for esophageal motility disorders. Surgical Clinics of North America 2002; 82: 763-782.

  21. Csendes A, Burdiles P, Korrn O, Braghetto I, Díaz J, Henríquez A. Resultados preliminares de la esofagotomía por video laparoscopia en pacientes con acalasia esofágica. Rev Med Chile 2001; 129: 1142-1146.

  22. Csendes A, Braghetto I, Burdiles P, Korn O, Csendes P, Henríquez A. Very late results of esophagomyotomy for patients with achalasia. Annals of Surgery 2006; 253: 196-203.

  23. Gubaira JA, Gubaira JA, Zito J, Sarquis E, Pietri M. Esofa­gocardiomiotomía de Heller con funduplicatura anterior de Dor por laparoscopia en el tratamiento de la acalasia. Rev Venez Cir 113-116.

  24. Restrepo A, Rey M, Garzón M, Farfán Y, Molano J, Marulanda J et al. Acalasia. Controversias del tratamiento. Rev Col Gastroenterol 2007; 22: 69-75.

  25. Patti MG, FisicheIla P. Impact of minimally invasive surgery on the treatment of esophageal achalasia: A decade of change. J Am Coll Surg 2003: 698-703.

  26. Vaezi MF, Richter JE. Diagnosis and management of achalasia. American College of Gastroenterology Practice Parameter Committee. Am J Gastroenterol 1999; 94: 3406-3412.

  27. Alfau M, Jiménez I, Aguasvivas E, Hernández S, García M. Acalasia a propósito de un caso. Rev Méd Dom DR-ISSN-0254-4504 ADOERBIO 001 2007; 68: 213-216.

  28. Desai KM, Soper NJ. Laparoscopic management of idiopathic esophageal achalasia. Revista de Gastroenterología de México 2004; 69: 7-14.

  29. Long JD, Orlando RC. Anatomía y anomalías del desarrollo y adquiridas del esófago. Enfermedades Gastrointestinales y Hepáticas. 6° Ed. Sleisenger & Fordtran 200: 495-505.

  30. Holzman MD, Sharp KW, Ladipo JK, Eller RF, Holcomb GW, Richards WO. Laparoscopic surgical treatment of achalasia. Am J Surg 1997; 173: 308-311.




2020     |     www.medigraphic.com