ACHALASIA IN PAEDIATRIC AGE: TWO CASES REPORT TREATED WITH MINIMALLY INVASIVE SURGERY: the Authors provide a study about 2 cases with achalasia treated with laparoscopic Heller myotomy and anterior fundoplication according to Thall, at the University of Siena. The preoperative exams included clinical examination, a barium x-ray of the upper digestive tract and a esophageal-gastric-scopy. One patient had a Rett's syndrome. Postoperatively, the patients showed a normal weight curve and complete resolution of symptoms. Ali patients showed complete regression of digestive and respiratory symptoms from the very first examination, with a normal oral meal intake and an improvement of weight and height parameters, In conclusion, the Authors suggest that modified extramucosal Heller cardiomyotomy associated to 180° anterior antireflux plastic surgery (according to both Thal and Dor 's procedures) is a usefull and safe procedure in the treatment of oesophageal achalasia in paediatric patients. Our data - which are supported by a long term follow up - also stress the relevance of the anterior fundoplication in preventing postoperative gastroesophageal reflux.

Molinaro, F., Garzi, A., Zagordo, L., Amato, G., Varetti, C., Messina, M. (2002). Acalasia esofagea in età pediatrica: descrizione di due casi clinici trattati con tecnica videolaparoscopica. ATTI DELL'ACCADEMIA DEI FISIOCRITICI IN SIENA, 15(21), 119-126.

Acalasia esofagea in età pediatrica: descrizione di due casi clinici trattati con tecnica videolaparoscopica

MOLINARO, FRANCESCO;MESSINA, MARIO
2002-01-01

Abstract

ACHALASIA IN PAEDIATRIC AGE: TWO CASES REPORT TREATED WITH MINIMALLY INVASIVE SURGERY: the Authors provide a study about 2 cases with achalasia treated with laparoscopic Heller myotomy and anterior fundoplication according to Thall, at the University of Siena. The preoperative exams included clinical examination, a barium x-ray of the upper digestive tract and a esophageal-gastric-scopy. One patient had a Rett's syndrome. Postoperatively, the patients showed a normal weight curve and complete resolution of symptoms. Ali patients showed complete regression of digestive and respiratory symptoms from the very first examination, with a normal oral meal intake and an improvement of weight and height parameters, In conclusion, the Authors suggest that modified extramucosal Heller cardiomyotomy associated to 180° anterior antireflux plastic surgery (according to both Thal and Dor 's procedures) is a usefull and safe procedure in the treatment of oesophageal achalasia in paediatric patients. Our data - which are supported by a long term follow up - also stress the relevance of the anterior fundoplication in preventing postoperative gastroesophageal reflux.
Molinaro, F., Garzi, A., Zagordo, L., Amato, G., Varetti, C., Messina, M. (2002). Acalasia esofagea in età pediatrica: descrizione di due casi clinici trattati con tecnica videolaparoscopica. ATTI DELL'ACCADEMIA DEI FISIOCRITICI IN SIENA, 15(21), 119-126.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11365/34129
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