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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1997-8-4
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pubmed:abstractText |
The aim of this study was to describe and evaluate the laparoscopic treatment of esophageal achalasia in nine patients over a 35-month period. Five trocars were used to perform a Heller's myotomy to completely eliminate the cardial high-pressure zone, under manometric control. Intraoperative manometry also was used to calibrate a pick degrees 360 Rossetti's antireflux wrap. A complete regression of symptoms was observed postoperatively in seven of nine patients (77.8%); in two patients (22.2%) a moderate dysphagia persisted, but it disappeared 3 and 6 months, respectively. Only one intraoperative complication (esophageal perforation, recognized and laparoscopically repaired) occurred. At the present follow-up of 18 +/- 5.34 months (range 6-35), no dysphagia or symptoms related to reflux have been observed. Laparoscopic treatment of esophageal achalasia is considered a safe and effective procedure, and the results of this procedure are comparable with those of the open technique. Advantages common to other laparoscopic techniques are emphasized.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1051-7200
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
232-5
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9194285-Adolescent,
pubmed-meshheading:9194285-Adult,
pubmed-meshheading:9194285-Cardia,
pubmed-meshheading:9194285-Deglutition Disorders,
pubmed-meshheading:9194285-Esophageal Achalasia,
pubmed-meshheading:9194285-Esophageal Perforation,
pubmed-meshheading:9194285-Esophagus,
pubmed-meshheading:9194285-Female,
pubmed-meshheading:9194285-Follow-Up Studies,
pubmed-meshheading:9194285-Fundoplication,
pubmed-meshheading:9194285-Gastroesophageal Reflux,
pubmed-meshheading:9194285-Humans,
pubmed-meshheading:9194285-Intraoperative Care,
pubmed-meshheading:9194285-Intraoperative Complications,
pubmed-meshheading:9194285-Laparoscopes,
pubmed-meshheading:9194285-Laparoscopy,
pubmed-meshheading:9194285-Male,
pubmed-meshheading:9194285-Manometry,
pubmed-meshheading:9194285-Pressure,
pubmed-meshheading:9194285-Remission Induction,
pubmed-meshheading:9194285-Safety
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pubmed:year |
1997
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pubmed:articleTitle |
Surgical laparoscopy with intraoperative manometry in the treatment of esophageal achalasia.
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pubmed:affiliation |
III Department of General Surgery, University, Federico II, Naples, Italy.
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pubmed:publicationType |
Journal Article,
Comparative Study
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