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Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
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Esophagectomy for End-Stage Achalasia
John Waters1, Linda W Martin1, Daniela Molena2
1Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY, 10065, USA.
World Journal of Surgery
|April 4, 2022
Summary
Esophagectomy is a surgical option for end-stage achalasia when other treatments fail. Outcomes are favorable in experienced centers, despite potential complications.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Thoracic Surgery
Background:
- Achalasia is a rare esophageal motility disorder.
- End-stage achalasia often necessitates surgical intervention.
- Esophagectomy is a treatment option for refractory achalasia.
Purpose of the Study:
- To review the role and outcomes of esophagectomy in achalasia management.
- To discuss surgical techniques and conduit options for esophagectomy.
- To highlight potential complications and factors influencing outcomes.
Main Methods:
- Literature review of esophagectomy for achalasia.
- Analysis of surgical techniques and reconstructive options.
- Evaluation of complication rates and patient outcomes.
Main Results:
- Esophagectomy is a safe and effective option for end-stage achalasia.
- Various conduit choices (stomach, colon, small intestine) are available.
- Potential complications exist but are manageable.
- Good outcomes are associated with experienced surgical centers.
Conclusions:
- Esophagectomy is a viable treatment for patients with end-stage achalasia unresponsive to prior therapies.
- Surgical technique and conduit selection should be individualized.
- Patient outcomes are optimized in high-volume, experienced centers.
- Careful patient selection and surgical expertise are crucial for successful esophagectomy in achalasia.
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