Hirashima T, Sato H, Shiota A, Hara T, Onozawa K
Jpn J Surg. 1974 Dec;4(4):189-97. doi: 10.1007/BF02469451.
Result of operative treatment in 196 cases of achalasia was reviewed. The procedures employed include cardiolysis, Heller's extramucosal myotomy, Wendel's cardioplasty, Heyrovsky's esophagocardiostomy, with and without pyloroplasty, cardiac resection and esophagocardioplasty with gastric patch. Follow-up study on 166 cases revealed that the result was classified as good in 99 cases or 59.6 per cent and improved in 46 cases or 27.7 per cent. Overall satisfactory result was obtained in 87.3 per cent. When the result was broken down to groups following three classifications, i.e. according to X-ray, endoscopic and manometric findings, the interesting correlation emerged. Heller's myotomy and esophagocardioplasty with gastric patch gave best results in early stage of achalasia, while in later stage the latter procedure seems to be the operation of choice.
回顾了196例贲门失弛缓症的手术治疗结果。采用的手术方法包括贲门松解术、赫勒氏黏膜外肌切开术、温德尔氏贲门成形术、海罗夫斯基氏食管贲门吻合术（伴或不伴幽门成形术）、贲门切除术以及用胃补片进行的食管贲门成形术。对166例患者的随访研究显示，结果评为良好的有99例，占59.6%，改善的有46例，占27.7%。总体满意结果为87.3%。当按照三种分类方法，即根据X线、内镜和测压结果将结果进行分组时，出现了有趣的相关性。赫勒氏肌切开术和用胃补片进行的食管贲门成形术在贲门失弛缓症早期效果最佳，而在后期，后一种手术似乎是首选手术。
