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[Cricopharyngeal myotomy in upper esophageal sphincter dysfunction]
1Shanghai Putuo District Centre Hospital.
Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|April 1, 1990
Summary
Cricopharyngeal myotomy effectively treats upper esophageal sphincter dysfunction, a condition causing difficulty swallowing. This procedure relieved severe dysphagia in all patients, preventing choking risks.
Area of Science:
- Gastroenterology and Otolaryngology
- Esophageal Motility Disorders
- Surgical Interventions
Context:
- Upper esophageal sphincter (UES) dysfunction presents as altered esophageal motility, leading to functional obstruction and cervical dysphagia.
- This condition can result in aspiration, pulmonary infections, and potentially fatal choking incidents.
- Uncoordinated contractions between the cricopharyngeal muscle and pharyngeal muscles are implicated in the development of cervical dysphagia.
Purpose:
- To evaluate the efficacy of cricopharyngeal myotomy in treating severe dysphagia caused by upper esophageal sphincter dysfunction.
- To assess the safety and outcomes of this surgical intervention in a cohort of patients.
Summary:
- This study reports on 5 patients with severe dysphagia due to UES dysfunction who underwent cricopharyngeal myotomy.
- The procedure aims to alleviate functional obstruction by creating a wider opening in the upper esophagus.
- All treated patients experienced significant symptom relief, with no reported complications.
Impact:
- Cricopharyngeal myotomy offers a simple and effective solution for upper esophageal sphincter dysfunction, improving patient quality of life.
- The successful treatment of dysphagia in this cohort highlights the procedure's potential to prevent life-threatening complications like choking.
- This study supports the use of cricopharyngeal myotomy as a primary treatment for this specific esophageal motility disorder.