Large diameter esophagogastric internal fistula combined with fundoplication for treatment of achalasia
10.11659/jjssx.01E016018
- VernacularTitle:食管胃底大口径内瘘加胃折叠术治疗贲门失驰缓症
- Author:
Xu ZHAO
;
Xiaoping LIANG
;
Heping BAI
;
Zhen ZHANG
;
Jun YU
;
Baojun CAO
;
Jiang HE
;
Rui WANG
- Publication Type:Journal Article
- Keywords:
achalasia;
large diameter esophagogastric internal fistula;
fundoplication;
anti-reflux
- From:
Journal of Regional Anatomy and Operative Surgery
2016;25(10):758-761
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical the efficacy of large diameter esophagogastric internal fistula combined with fundoplication and modified Heller surgery for treatment of achalasia.Methods From June 2008 to March 2014,18 patients diagnosed as achalasia were se-lected into this suty,and they were divided into the observation group (8 cases)and the control group (10 cases).Patients of the observation group were received large diameter esophagogastric internal fistula combined with fundoplication while patients of the control group received modified Heller surgery.Compared the surgical curative effect and complications between the two groups.Results All the 18 patients suc-cessfully completed the arranged surgical treatment.The imaging examination 3 months after the operation showed that the contrast agent suc-cessfully passed through the esophagus,cardia and the anastomosis,and then went into the gastric lumen.The total effective rate was 100% in the observation group 12 months after operation,while it was 60% in the control group,and the difference between the two groups was statisti-cally significant (P =0.014).The incidence of complications in the observation group was lower than that of the control group,the difference was statistically significant (P =0.026).Conclusion Large diameter esophagogastric internal fistula combined with fundoplication for treat-ment of achalasia is safer,and there is a possibiltiy to cure the achalasia.
