RT Book, Section
A1 Lopez, Rebecca Grace
A1 Oelschlager, Brant K.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Burt, Bryan M.
A2 Groth, Shawn S.
A2 Loor, Gabriel
A2 Wolf, Andrea S.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1170407447
T1 Esophagogastromyotomy for Achalasia and Esophageal Dysmotility Disorders
T2 Sugarbaker’s Adult Chest Surgery, 3e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260026931
LK accesssurgery.mhmedical.com/content.aspx?aid=1170407447
RD 2024/04/24
AB In  1914,  Ernest  Heller  described  the  first  cardiomyotomy  for  the  treatment  of  achalasia.1  Initially  performed  open,  this  morbid  operation  was  performed  primarily  in  patients  who  failed  medical  and  endoscopic  management.  It  was  not  until  the  early  1990s  with  the  advent  of  minimally  invasive  techniques  that  minimally  invasive  esophagocardiomyotomy  became  a  viable  first-line  therapy.  This  operation  has  yielded  excellent  results,  with  90%  to  95%  of  patients  receiving  durable  relief  of  dysphagia  for  patients  with  achalasia.2–4  This  success  led  to  use  of  myotomy  for  other  esophageal  motility  disorders  with  variable,  but  inferior,  success.  With  the  ability  to  better  classify  the  esophageal  motility  disorders  with  high-resolution  manometry,  we  are  now  able  to  apply  and  form  new  opinions  in  the  management  of  these  rare  disorders.