Duranceau A, LaFontaine E R, Vallieres B
Am J Surg. 1982 Jan;143(1):22-8. doi: 10.1016/0002-9610(82)90124-6.
Twelve patients underwent distal esophageal myotomy for achalasia. After denuding the esophageal mucosa over 50 percent of its circumference, a short (2 cm) total fundoplication was performed over a size 56 mercury bougie. Clinical evaluation showed marked symptomatic improvement. Obstructive symptoms are minimal, and no reflux symptoms were noted. Manometric documentation showed a significant decrease in resting esophageal and lower esophageal sphincter pressure. Contraction pressure was also lowered, and peristalsis returned in 36 percent of the waves in the proximal esophagus. Radiologic and scanning documentation revealed slow emptying without evidence of significant reflux. Endoscopic evaluation revealed no esophagitis after 19 months' follow-up.
12例贲门失弛缓症患者接受了远端食管肌切开术。在剥脱食管黏膜周长的50%以上后，在56号水银探条上进行了短（2cm）的全胃底折叠术。临床评估显示症状有明显改善。梗阻症状轻微，未发现反流症状。食管测压记录显示静息时食管和食管下括约肌压力显著降低。收缩压也降低，近端食管36%的波恢复蠕动。放射学和扫描记录显示排空缓慢，无明显反流迹象。内镜评估显示，随访19个月后未发现食管炎。
