MIT-HOL kerdes [3362]: achalasia oesophagi
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2001. Jún. 14., Cs, 10:14:55 CEST
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>Hol kereste: orvosi hetilap 1997 januar els=F5 szamaban olvastam egy cikket
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Record 1 of 3 -- Source: med2000
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Search
Article TI- Transthoracic oesophagomyotomy in the treatment of=
achalasia--a 15-year
Finder experience.
DocSource AU- Shai SE; Chen CY; Hsu CP; Hsia JY; Yang SS
[Image] MEDLINE AD- Department of Surgery, Taichung Veterans' General=
Hospital, Taiwan, ROC.
Services sse at vghtc.vghtc.gov.tw
Document SR- Scand
Cardiovasc J, 33(6):333-6 1999
Delivery AB- Oesophageal achalasia was treated with modified=
Heller's
TOC/Alert
About Us oesophagomyotomy in 51 patients (19 males, 32=
females) via thoracotomy in
47 cases and thoracoscopy in 4 cases. A Belsey Mark=
IV antireflux
Contact procedure was added to transthoracic=
oesophagomyotomy in two cases,
Us
News because of extended cardiomyotomy. There were no=
hospital deaths. The
Home Page overall improvement rate was 93.5%, with excellent=
results in 80.6%.
Account Postoperative follow-up averaged 7.4 years. In all=
four cases of
Register thoracoscopic oesophagomyotomy, simultaneous=
oesophagoscopy was performed
Logon to facilitate the procedure. One patient required=
repeat surgery 2 months
later because of inadequate myotomy. Thirty-one=
patients, including three
with severe gastro-oesophageal reflux, received=
long-term medication.
Barrett's oesophagus developed in two of the 31=
patients (6.5%) 4.7 and
7.6 years, respectively, after myotomy and squamous=
cell carcinoma was
diagnosed in a 44-year-old woman 2.2 years=
postoperatively. The study
suggests that transthoracic oesophagomyotomy without=
antireflux procedure
can provide excellent long-term relief of dysphagia=
in oesophageal
achalasia and carries a low risk of serious=
postoperative complications.
LA- Eng
UI- 20086256
MM- Esophageal Achalasia SU; Esophagogastric Junction=
SU; Thoracotomy MT
NN- Adolescence; Adult; Aged; Comparative Study;=
Esophagoscopy; Female;
Human; Male; Middle Age; Postoperative=
Complications; Questionnaires;
Retrospective Studies; Thoracoscopy; Treatment=
Outcome
PT- JOURNAL ARTICLE
IS- 1401-7431
CY- NORWAY
EM- 0003
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Record 2 of 3 -- Source: med9799
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TI- [Treatment of achalasia of the cardia using=
thoracoscopic
esophago-myotomy]
AU- Olah T; Szendr=B4enyi V; Wittmann T; Feh=B4er A;=
Roszt=B4oczy A; Kiss I;
Balogh A
AD- Szent-Gy=A8orgyi Albert Orvostudom=B4anyi Egyetem,=
Szeged, Seb=B4eszeti
Klinika.
SR- Orv
Hetil, 138(1):11-3 1997 Jan 5
AB- We performed left thoracoscopic esophagomyotomy in=
four patients
suffering from achalasia cardiac. In one patients=
the esophageal mucosa
was opened during the myotomy. This was sutured=
through thoracoscopy and
the per os feeding of the patient started on the 8th=
postoperative day,
while in the other three patients this was done on=
the 2nd postoperative
day. The mean emission of the patients was on the=
6th postoperative day.
Comparison of the status before and 6 weeks=
following the operation was
done on the basis of results of different=
examinations i. e. x-ray,
esophago-gastroscopy, manometry, pH-metry, isotope=
test. The favourable
results of the operations were declared as all=
examinations revealed
marked improvement and all patients have better=
swallow function and 6-9
kg increase in body weight.
LA- Hun
UI- 97166790
MM- Esophageal Achalasia SU
NN- Adult; Cardia PP; Cardia SU; Endoscopy; English=
Abstract; Esophagoscopy;
Esophagus SU; Female; Follow-Up Studies;=
Gastroscopy; Human; Male; Middle
Age; Thoracoscopy
PT- JOURNAL ARTICLE
IS- 0030-6002
CY- HUNGARY
EM- 9704
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Record 3 of 3 -- Source: med9496
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TI- Heller-Dor procedure for achalasia: from=
conventional to
video-endoscopic surgery.
AU- Collard JM; Romagnoli R; Lengele B; Salizzoni M;=
Kestens PJ
AD- Louvain Medical School, St Luc Academic Hospital,=
Brussels, Belgium.
SR- Acta
Chir Belg, 96(2):62-5 1996 Apr
AB- A Heller-Dor procedure was performed by laparotomy=
(group A: n =3D 8) or
by laparoscopy (group B: n =3D 12) after failure of=
one to 17 sessions of
intraluminal dilatations (n =3D 13) or as a primary=
treatment of
oesophageal achalasia (n =3D 7). The=
oesophagomyotomy was extended over the
thoracic oesophagus by thoracoscopy in two patients=
having vigorous
achalasia. Injury to the oesophageal mucosa occurred=
in two group A
patients who had previously been dilated. At=
follow-up (range: 1 to 113
months), 6 patients of group A (75%) and 10 of group=
B(83.3%) had no
residual dysphagia. The four patients (group A: n =
=3D 2; group B: n =3D 2)
who complained of heartburn prior to the operation=
were asymptomatic,
only one group A patient developed symptoms of=
reflux, and oesophageal
pH-monitoring was normal in the 6 group B patients=
investigated at
follow-up. The laparoscopic approach reduces the=
magnitude of the
operation, and the magnified overview permits=
precise dissection of the
intraparietal adhesions which may develop after=
numerous sessions of
dilatation.
LA- Eng
UI- 96238139
MM- Endoscopy MT; Esophageal Achalasia SU; Laparotomy
NN- Adult; Aged; Comparative Study; Deglutition=
Disorders ET; Dilatation MT;
Female; Human; Laparoscopy; Male; Middle Age;=
Postoperative Complications
ET
PT- CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; JOURNAL=
ARTICLE
IS- 0001-5458
CY- BELGIUM
EM- 9610
Copyright =
=A9 1999 Infotrieve.com
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