RT Book, Section
A1 Wee, Jon O.
A1 Sugarbaker, David J.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105839871
T1 Long Esophageal Myotomy: Open, Thoracoscopic, and Peroral Endoscopic Approach
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105839871
RD 2024/04/20
AB Diffuse  esophageal  spasm  (DES)  is  one  of  several  nonspecific  smooth  muscle  esophageal  motility  disorders  associated  with  intermittent  debilitating  dysphagia  and  chest  pain.  The  efficacy  of  long  esophageal  myotomy  for  the  surgical  treatment  of  DES  has  not  been  as  favorable  as  myotomy  has  been  for  achalasia  (see  Chapter  33).  Surgical  treatment  in  this  patient  group  therefore  remains  controversial.  Long  esophageal  myotomy  was  first  described  for  the  treatment  of  DES  in  1950  by  Professor  Lortat-Jacob  of  Paris,  France.1  Although  the  surgical  principles  remain  the  same,  a  few  modifications  have  been  made  in  the  approach  to  diagnosis  and  treatment.