caa a22 4500 606248544 CHVBK 20210128101351.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-014-1193-4 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1193-4 Laparoscopic Esophagogastroplasty in Management of Megaesophagus with Axis Deviation [Elektronische Daten] [Nilanjan Panda, Nitin Bansal, Mohon Narsimhan, Ramesh Ardhanari] The results of cardiomyotomy in patients of achalasic megaesophagus with axis deviation are not satisfactory. Usually, an esophagectomy is advocated. We describe the technical details and outcomes of laparoscopic esophagogastroplasty for end-stage achalasia. The patient had end-stage achalasia, characterized by tortuous megaesophagus with axis deviation. The surgery was performed in supine position using four abdominal ports. The steps included mobilization of the gastroesophageal junction and lower intrathoracic esophagus, straightening the pulled intrathoracic esophagus into the abdomen, and a side-side esophagogastroplasty using purple Endo GIA Articulating Tri-Staple load, two firings. Duration of surgery was 52min. The patient was ambulated on the first postoperative day. Oral feeding was initiated by the third postoperative day. The patients had significant improvements of dysphagia. At 3months of follow-up, the patient is euphagic without significant symptoms of gastroesophageal reflux. Laparoscopic esophagogastroplasty is an effective option for relieving dysphagia in megaesophagus due to achalasia with axis deviation. It is a reasonable alternative before subjecting to a major and potentially morbid esophagectomy. It creates a large gastroesophageal (GE) junction, which, with the help of gravity, helps food transit. By dividing the muscles of the GE junction completely, it also achieves a complete cardiomyotomy. Less operative time and blood loss, quicker recovery, and better cosmesis make it an attractive option. While potential reflux is a possibility, the reported case has not shown significant GERD symptoms. Association of Surgeons of India, 2014 Megaesophagus nationallicence Esophagogastroplasty nationallicence Achalasia cardia nationallicence Sigmoid esophagus nationallicence Panda Nilanjan Department of Surgery, Meenakshi Mission Hospital and Research Center, Madurai, Tamil Nadu, India aut Bansal Nitin Department of Surgery, Meenakshi Mission Hospital and Research Center, Madurai, Tamil Nadu, India aut Narsimhan Mohon Department of Surgery, Meenakshi Mission Hospital and Research Center, Madurai, Tamil Nadu, India aut Ardhanari Ramesh Department of Surgery, Meenakshi Mission Hospital and Research Center, Madurai, Tamil Nadu, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 1453-1455 0972-2068 77<1453 2015 77 12262 https://doi.org/10.1007/s12262-014-1193-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1193-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Panda Nilanjan Department of Surgery, Meenakshi Mission Hospital and Research Center, Madurai, Tamil Nadu, India aut NATIONALLICENCE 700 1- Bansal Nitin Department of Surgery, Meenakshi Mission Hospital and Research Center, Madurai, Tamil Nadu, India aut NATIONALLICENCE 700 1- Narsimhan Mohon Department of Surgery, Meenakshi Mission Hospital and Research Center, Madurai, Tamil Nadu, India aut NATIONALLICENCE 700 1- Ardhanari Ramesh Department of Surgery, Meenakshi Mission Hospital and Research Center, Madurai, Tamil Nadu, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 1453-1455 0972-2068 77<1453 2015 77 12262