López CJA, Alamea CE, Carrera LN, Medina RJA, López PJA

Language: Spanish
References: 13
Page: 100-103
PDF size: 184.54 Kb.

ABSTRACT

Introduction: Achalasia is a disease that affects 1 in 10,000 inhabitants. The most effective treatment for this condition is Heller's Cardiomyotomy which may result in gastroesophageal reflux and in turn, esophageal stenosis. Case Study: We received a 26 year old male patient with a history of Laparoscopic Heller's Cardiomiotomy and Dor Fundoplication. 10 years after his treatment, he presented peptic esophageal stricture with poor response to endoscopic esophageal dilations. A transhiatal esophagectomy was performed with laparoscopic gastric ascent. The aim of this paper is to describe the case and the patient's evolution and results; along with a review of the history and current status of minimally invasive esophagectomy as a treatment for benign esophageal stenosis. Conclusion: A transhiatal laparascopic approach is feasible in benign esophageal stenosis cases that require esophagectomy. It is considered safe and offers the advantages that minimally invasive surgery has to offer without increasing its morbidity.

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