Demos N J
Am Surg. 1983 May;49(5):282-4.
Long-term follow-up of patients with achalasia has revealed recurrences many years following an initially successful cardiomyotomy. In three patients with recurrent achalasia, one previously operated on by us and another twice recurrent, we were confronted with an apparently previously complete myotomy at reoperation. We elected to perform a cardioplasty using the Y-V principle employed previously in duodenal stenosis. We added a Belsey type of partial plication. Five-year follow-up with history, esophagram, esophageal function studies, and endoscopy has revealed no recurrence of dysphagia and no symptoms of reflux or esophagitis.
贲门失弛缓症患者的长期随访显示，在最初成功进行贲门肌切开术后多年仍有复发情况。在3例复发性贲门失弛缓症患者中，1例曾接受我们的手术，另1例复发了两次，再次手术时我们面对的是一个看似之前已完全完成的肌切开术。我们选择采用先前用于十二指肠狭窄的Y-V原则进行贲门成形术。我们还增加了一种Belsey式的部分折叠术。通过病史、食管造影、食管功能研究和内镜检查进行的5年随访显示，吞咽困难没有复发，也没有反流或食管炎的症状。
