Avtor/Urednik		Orel, J; Eržen, J; Hrabar, B
Naslov		Zdravljenje ahalazije požiralnika z miotomijo in pnevmatično dilatacijo
Prevedeni naslov		Management of achalasia of the oesophagus with myotomy and pneumatic dilatation
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 62, št. Suppl 2
Leto izdaje		1993
Obseg		str. 13-7
Jezik		slo
Abstrakt		Background. In a retrospecitve study the results of treatment of achalasia with oesophagomyotomy and dialtation have been evaluated. Methods. From 1962 to 1992 oesophagomyotomy was performed in 205 patients, including 103 males and 102 females, with a mean age of 42 years. The mean duration of symptoms was 5.8 years, and the mean weight loss was 11.8 kg. The 205 patients underwent a total of 217 operations. The standard operation was a modified Heller myotomy, done in 207 cases. An antireflux wrap was added in 38 operations. From 1990 to 1992 pneumatic dilatation was performed in 25 patients, including 12 males and 13 females, with a mean age of 48 years. The mean duration of dysphagia was 5.2 years, the mean weight loss was 10.6 kg. One patient required 2 dilatations and one 3. In 4 cases dilatation was performed after previous oesophagomyotomy, one patient (4 per cent ) required subsequent oesophagomyotomy. Results. The overal complication rate in myotomized patients was 23.8 per cent . The postoperative hospital mortality was 1.9 per cent . The results were evaluated in 170 patients et a mean enterval of 18 months. An excellent or good result was achieved in 75 per cent , satisfactory in 17 per cent and poor in 8 per cent of the patients. Symptomatic reflux was detected in 31 per cent of the patients. Neither perforation nor any other complication was obseved after dilatation. The usual length of hospital stay was 3 to 4 days. Eighteen patients were evaluated after a mean interval of 14 months. The results were classified as excellent or good in 67 per cent , satisfactory in 28 per cent and poor in 5 per cent of the patients. Symptomatic reflux was observed in 17 per cent of the patients. Conclusions. (Abstract truncated at 2000 characters).
Deskriptorji		ESOPHAGEAL ACHALASIA BALLOON DILATATION GASTROESOPHAGEAL REFLUX MORTALITY WORK CAPACITY EVALUATION POSTOPERATIVE COMPLICATIONS