Fiori E, Leone G, Iascone C, Cangemi V, Piat G
I Department of Surgery, University of Rome La Sapienza, Italy.
Panminerva Med. 1994 Sep;36(3):115-23.
Thirteen patients affected by achalasia of the esophagus, undergoing esophagocardiomyotomy with Dor gastroplasty, are reported. No postoperative deaths or complications occurred. Overall long-term results were satisfactory: excellent or good in 92.3% of cases, fair in 7.7%. Manometry after esophagocardiomyotomy as compared to preoperative assessment showed a decreased resting pressure in the esophageal body, in all patients in whom it was elevated, and the appearance of some peristaltic waves in 23.1% of them (3 patients). As for lower esophageal sphincter, some relaxation after deglutition was observed in one patient. The 24h pH monitoring showed signs of gastroesophageal reflux only in one patient. Based on the obtained results which compare well with those of the literature, the authors be believe that the procedure represents an effective treatment of esophageal achalasia.
本文报告了13例患有食管失弛缓症并接受食管贲门肌层切开术加Dor胃成形术的患者。术后无死亡病例或并发症发生。总体长期效果令人满意：92.3%的病例效果极佳或良好，7.7%的病例效果一般。与术前评估相比，食管贲门肌层切开术后的测压显示，所有食管体静息压力升高的患者其压力均降低，其中23.1%（3例患者）出现了一些蠕动波。至于食管下括约肌，仅1例患者在吞咽后观察到一些松弛。24小时pH监测仅在1例患者中显示出胃食管反流的迹象。基于所获得的与文献结果相当的结果，作者认为该手术是治疗食管失弛缓症的有效方法。
