Abstract

DORADO A, Evelyn Astrid. Surgery as the most effective option for minimally invasive treatment of achalasia. Rev Col Gastroenterol [online]. 2012, vol.27, n.2, pp.96-98. ISSN 0120-9957.

Management of achalasia is controversial and various options have been proposed ranging from medical management to endoscopic and eventually to surgical management. After the advent of laparoscopy and all of its advantages, Cushieri became the first to perform a minimally invasive Heller myotomy in the 1990's. Numerous articles and meta-analyses have compared available techniques for improvement of symptoms and improved quality of life. The surgical option has been rated highest in all cases. To treat achalasia, the minimally invasive surgical service at San Ignacio Hospital performs laparoscopic cardiomyotomy and intraoperative endoscopy to evaluate and determine whether there are perforations in the esophageal mucosa, Finally, a Toupet partial fundoplication is performed with 50F calibration.

Keywords : Achalasia; laparoscopic myotomy; pneumatic balloon dilatation.

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