Reflux after cardiomyotomy

Open Access
Publisher Website
Google Scholar
Abstract
Among 56 patients with achalasia of the cardia, there were 16 with reflux after operation; of these, 7 were symptomless. A radiologic technique facilitating detection of reflux is described. Factors contributing to development of reflux are duodenal ulceration, previous esophageal operations, double and strip myotomies and disruption of the hiatus. Preservation of the hiatal mechanism is considered most important in reducing incidence of reflux. The long myotomy is necessary to ensure adequate esophageal drainage; if it is placed on the lesser curve side of the esophagus and stomach, the risk of reflux is likely to be diminished.