Orozco-Sánchez J, Jaime-Solís E, Padilla-Monroy F, Casian-Castellanos G, Páez-Morales M, Muñoz-Kim P, Torres-Vista M
Servicio de Cirugía Pediátrica, Hospital Juárez de México, México,D.F.
Bol Med Hosp Infant Mex. 1990 Aug;47(8):580-5.
Six patients with achalasia of the esophagus were submitted to an abdominal esophagomyotomy which extended two centimeters in width and six to eight centimeters in length, descending one or two centimeters from the esophagealgastric union without having to remove the mucosa in 50% of the esophageal circumference while also performing total funduplication of the floppy Nissen type. The clinical evaluation showed the disappearance of all symptoms. Both the endoscopic as well as the X-rays studies showed the obsence of obstructive symptoms or reflux of any sort. The manometry showed a decrease in the pressure exerted by the inferior esophageal sphincter. No complications arose during or after the surgeries. The results were excellent in all cases and mortality was zero.
六例贲门失弛缓症患者接受了腹部食管肌层切开术，切口宽度为两厘米，长度为六至八厘米，从食管胃结合部向下延伸一或两厘米，无需切除50%食管周径的黏膜，同时还进行了改良Nissen胃底折叠术。临床评估显示所有症状均消失。内镜检查和X线检查均显示无任何梗阻症状或反流。测压显示食管下括约肌压力降低。手术期间及术后均未出现并发症。所有病例结果均极佳，死亡率为零。
