TY - CHAP M1 - Book, Section TI - Long Esophageal Myotomy: Open, Thoracoscopic, and Peroral Endoscopic Approach 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 PY - 2015 T2 - Adult Chest Surgery, 2e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/23 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105839871 ER -