Sinha S, Chattopadhyay T K
Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.
Trop Gastroenterol. 1997 Jan-Mar;18(1):34-6.
Over a seven year period, 25 patients of achalasia cardia underwent a transabdominal short segment oesophago-cardiomyotomy. There was no operative mortality. Two patients had a mucosal tear, detected intraoperatively and promptly repaired. All patients were regularly followed up (range 1 to 7 years). Clinical results were excellent in 76%, good in 20% and fair in 4%. No patient developed reflux or required reoperation for residual dysphagia. We conclude that a transabdominal short segment oesophago-cardiomyotomy performed carefully is a safe and effective procedure in the treatment of achalasia.
在七年的时间里，25例贲门失弛缓症患者接受了经腹短段食管-贲门肌层切开术。无手术死亡病例。2例患者术中发现黏膜撕裂并及时修复。所有患者均定期随访（随访时间1至7年）。临床效果极佳的占76%，良好的占20%，尚可的占4%。无患者发生反流或因残留吞咽困难而需要再次手术。我们得出结论，谨慎施行的经腹短段食管-贲门肌层切开术是治疗贲门失弛缓症的一种安全有效的方法。
