The laparoscopic reoperation of failed Heller myotomy

P. E. Duffy, Z. T. Awad, Charles Filipi

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background: Laparoscopic Heller myotomy for achalasia has a 10-20% failure rate and may require reoperation to control persistent, or recurrent symptoms of dysphagia. We report our experience with laparoscopic reoperation for failed Heller myotomy. Methods: Between 1996 and 2001, 5 patients underwent reoperative laparoscopic Heller myotomy. The mean age was 39 years. The presenting symptoms were persistent dysphagia (n = 3), recurrent dysphagia (n = 1), and weight loss (n = 1). The mean duration between 1st surgery and recurrence of symptoms was 2 months and the mean duration between surgeries was 27.5 months. All operations were completed laparoscopically. Results: There were no intraoperative or postoperative complications. Incomplete gastric myotomy was the cause of all 5 primary surgical failures. The mean hospital stay was 2 days. Mean follow-up was 12.8 months. Results were excellent in 2 patients who reported no dysphagia postoperatively (dysphagia grade 0) and good in 3 patients (60%) who all reported improvement in swallowing (dysphagia grade I-II). Conclusion: Laparoscopic reoperation for failed Heller myotomy is feasible with encouraging preliminary results.

Original languageEnglish
Pages (from-to)1046-1049
Number of pages4
JournalSurgical Endoscopy
Volume17
Issue number7
DOIs
StatePublished - Jul 1 2003

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Deglutition Disorders
Reoperation
Esophageal Achalasia
Intraoperative Complications
Deglutition
Weight Loss
Length of Stay
Stomach
Recurrence

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

The laparoscopic reoperation of failed Heller myotomy. / Duffy, P. E.; Awad, Z. T.; Filipi, Charles.

In: Surgical Endoscopy, Vol. 17, No. 7, 01.07.2003, p. 1046-1049.

Research output: Contribution to journalArticle

Duffy, P. E. ; Awad, Z. T. ; Filipi, Charles. / The laparoscopic reoperation of failed Heller myotomy. In: Surgical Endoscopy. 2003 ; Vol. 17, No. 7. pp. 1046-1049.
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