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Surgical treatment of cardiospasm and megaoesophagus
1Katedra i Klinika Chirurgii Przewodu Pokarmowego Akademii Medycznej, Wrocławiu.
Insights
This study presents long-term results for surgical treatments of cardiospasm and megaesophagus. Novel surgical techniques combining Heller
Area of Science:
- Gastroenterology and Surgical Sciences
- Digestive System Surgery
Background:
- Cardiospasm and megaesophagus are esophageal motility disorders requiring effective surgical management.
- Traditional surgical approaches may have limitations in long-term efficacy and complication rates.
Purpose of the Study:
- To present long-term outcomes of surgical interventions for cardiospasm and megaesophagus.
- To evaluate a modified Heller's operation for cardiospasm with anti-reflux reconstruction.
- To assess an original surgical procedure for advanced megaesophagus using jejunal grafts.
Main Methods:
- Surgical treatment of 111 patients (67 female, 44 male; age 4-65) with cardiospasm and megaesophagus.
- Modified Heller's operation with cardia reconstruction to prevent gastroesophageal reflux.
- Original jejunal graft interposition for advanced megaesophagus, connecting thoracic esophagus to prepyloric stomach.
Main Results:
- Long-term clinical follow-up demonstrated very good treatment outcomes.
- Radiological and endoscopic examinations supported the positive results.
- The described surgical methods proved effective in managing both conditions.
Conclusions:
- The presented surgical techniques offer effective long-term solutions for cardiospasm and megaesophagus.
- The modified Heller's operation with anti-reflux measures is beneficial for cardiospasm.
- The jejunal graft interposition is a viable option for advanced megaesophagus.
Abstract:
Long-term results of operative treatment of cardiospasm and megaoesophagus in 111 patients are presented. There were 67 women and 44 men treated, age 4 to 65. The authors have for several years used their own, in this Department developed method of operation for cardiospasm, which joins Heller's operation with the reconstruction of the cardia to prevent reflux. In very advanced stages of the disease as megaoesophagus they use an original surgical procedure, which consists in connecting the thoracic segment of the oesophagus with the prepyloric part of the stomach by means of a pedicle jejunal graft. Clinical follow-up supported by x-ray examination and endoscopy has shown very good results of such treatment.