[Postoperative X-ray and manometric findings of advanced achalasia]

Various operative techniques have been used for esophageal achalasia, but a definitive technique has not been established yet. During 1958-1994, 117 patients with esophageal achalasia were treated at our clinic. The techniques of Heller and Wendel or the modified Girard method have been successfully performed on 83 cases without any postoperative accidents. In 72 (87%) of these cases, the operation was performed by the modified Girard method with a successful result. The technical point of the modified Girard method consists in a long myotomy, while the mucosa value, created by horizontal suture, works as a reflux-preventing valve. Here we report the details and follow up studies of advanced achalasia (Sigmoid type) by esophageal X-ray and manometric findings. We also developed postoperative X-ray criteria to classify. On the basis of these data satisfactory results were recognized in 94% of our cases by modified Girard method.