caa a22 4500 475780868 CHVBK 20180406123643.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s004640000147 doi (NATIONALLICENCE)springer-10.1007/s004640000147 Laparoscopic esophagomyotomy with posterior partial fundoplication for primary esophageal motility disorders [Elektronische Daten] [J. Champion, N. Delisle, T. Hunt] Background: The 1outcomes of a laparoscopic esophagomyotomy with posterior partial fundoplication were compared between groups of patients with primary motility disorders. Methods: In this study, 47 patients (26 women and 21 men, ages 24 to 77 years; mean, 47 years) with significant dysphagia or chest pain who failed conservative treatment underwent a laparoscopic esophagomyotomy and posterior partial fundoplication. Preoperative evaluation revealed four groups of primary motility disorders: achalasia (n=12), nutcracker esophagus (n=12), hypertensive lower esophageal sphincter (LES) (n=16), and diffuse esophageal spasm (n=7). Statistical analysis was performed by Cramer's V test. Results: Average follow-up period was 30.3 months. There was no mortality or early morbidity. Late morbidity included dysphagia or chest pain over 6 weeks in 10 patients (21%), recurrent gastroesophageal reflux disease (GERD) in 3 patients (6%), and recurrent motility disorder in 2 patients (4%). Overall, 94% of the patients ultimately had complete resolution of dysphagia or chest pain. There was no significant difference in outcomes between groups. Conclusion: Early results suggest that laparoscopic esophagomyotomy with posterior partial fundoplication provides safe and effective relief from dysphagia and chest pain in patients with each of the primary motility disorders. Springer-Verlag, 2000 Laparoscopic and partial fundoplication nationallicence Myotomy nationallicence Primary motility disorders nationallicence Champion J. Department of Surgery, Mercer University, School of Medicine, 1550 College Street, 31207, Macon, GA, USA aut Delisle N. Department of Surgery, Mercer University, School of Medicine, 1550 College Street, 31207, Macon, GA, USA aut Hunt T. Department of Surgery, Mercer University, School of Medicine, 1550 College Street, 31207, Macon, GA, USA aut Surgical Endoscopy Springer-Verlag 14/8(2000-08-01), 746-749 0930-2794 14:8<746 2000 14 464 https://doi.org/10.1007/s004640000147 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000147 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Champion J. Department of Surgery, Mercer University, School of Medicine, 1550 College Street, 31207, Macon, GA, USA aut NATIONALLICENCE 700 1- Delisle N. Department of Surgery, Mercer University, School of Medicine, 1550 College Street, 31207, Macon, GA, USA aut NATIONALLICENCE 700 1- Hunt T. Department of Surgery, Mercer University, School of Medicine, 1550 College Street, 31207, Macon, GA, USA aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/8(2000-08-01), 746-749 0930-2794 14:8<746 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer