Reoperation for Achalasia of the Esophagus
- 1 August 1971
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 103 (2) , 122-128
- https://doi.org/10.1001/archsurg.1971.01350080038005
Abstract
Twenty-one patients underwent reoperation for achalasia after various unsuccessful surgical procedures designed to relieve chronic esophageal symptoms. The chief cause for their continued disability was either persistent obstructive achalasia or incompetence of the cardia with esophagitis and stricture. Continued esophageal obstruction with persistent achalasia was caused chiefly by complete or partial healing of a previous improperly performed esophagomyotomy. The performance of a new myotomy at reoperation usually effected a satisfactory result. Incompetence of the cardia followed previous operations which totally destroyed or bypassed the distal esophageal sphincter. At reoperation, the resultant lower esophageal stricture required resection for relief.This publication has 3 references indexed in Scilit:
- Achalasia of the Esophagus: Results of Therapy by Dilation, 1950–1967Chest, 1970
- Surgical Treatment of the Complications Resulting from Cardioesophageal IncompetenceDiseases of the Chest, 1963
- The problem of short œsophagus with œsophagitisBritish Journal of Surgery, 1962