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The Annals of Thoracic Surgery, Vol 37, 185-188, Copyright © 1984 by The Society of Thoracic Surgeons
GF Murray, JW Battaglini, BA Keagy, PJ Starek and BR Wilcox
Although esophagomyotomy alone may effectively relieve dysphagia in
patients with achalasia, utilization of a complementary fundoplication
procedure should be considered for selected patients. Fundoplication is a
sensible addition to myotomy in circumstances that suggest high risk for
the development of reflux esophagitis. Also, in complicated achalasia,
relief of esophageal obstruction by simple myotomy may not be achieved
safely. Identification of those pathological features associated with
achalasia that merit consideration of fundoplication should improve
operative results and reduce morbidity. This paper examines the application
of a complementary fundoplication procedure in the operative management of
21 patients with achalasia over a ten-year period.
ARTICLES
Selective application of fundoplication in achalasia
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