ArticleSurgical endoscopy2010
Laparoscopic oesophageal cardiomyotomy without fundoplication in children with achalasia: a 10-year experience: a retrospective review of the results of laparoscopic oesophageal cardiomyotomy without an anti-reflux procedure in children with achalasia.
Article in Surgical endoscopy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 50 citations in OpenAlex.
- Achalasia in Children-Clinical Presentation, Diagnosis, Long-Term Treatment Outcomes, and Quality of Life.Journal of clinical medicine · 2021Article
- Short-term safety and efficacy of peroral endoscopic myotomy for the treatment of achalasia in children.Journal of gastroenterology · 2020Article
- Heller myotomy is the optimal index procedure for esophageal achalasia in adolescents and young adults.Surgical endoscopy · 2019Article
- Gastrointestinal Dysmotility and the Implications for Respiratory Disease.Current treatment options in pediatrics · 2019Article
- Obstructive bronchitis and recurrent pneumonia in esophageal achalasia in a child: A CARE compliant case report.Medicine · 2018Article
- Long-term outcomes of Heller's myotomy and balloon dilatation in childhood achalasia.European journal of pediatrics · 2017Article
- Pediatric achalasia. Single-center study of interventional treatment.Przeglad gastroenterologiczny · 2017Article
- Laparoscopic esophagomyotomy for achalasia in children: A review.World journal of gastrointestinal endoscopy · 2016Review
- Childhood achalasia: A comprehensive review of disease, diagnosis and therapeutic management.World journal of gastrointestinal endoscopy · 2014Review
- Gastrointestinal motility disorders in children.Gastroenterology & hepatology · 2014Article
- Diagnosis, misdiagnosis, and associated diseases of achalasia in children and adolescents: a twelve-year single center experience.Pediatric surgery international · 2012Article
- Diagnosis and surgical management of children with oesophageal achalasia: A 10-year single-centre experience in Morocco.African journal of paediatric surgery : AJPSArticle
- Evaluation and Management of Achalasia Cardia in Children: A Retrospective Observational Study.Journal of Indian Association of Pediatric SurgeonsArticle
- Laparoscopic Heller myotomy versus peroral endoscopic myotomy in children with esophageal achalasia: a systematic review and meta-analysis.Annals of gastroenterologyArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOesophageal achalasia is a rare disorder in childhood. Common treatments in adults include oesophageal cardiomyotomy (laparoscopic or open) with fundoplication. We aimed to assess the results of laparoscopic oesophageal cardiomyotomy without fundoplication for treatment of achalasia in children.
methodsWe reviewed the results of laparoscopic oesophageal cardiomyotomy between January 1998 and June 2008. Patients below the age of 18 years, who had undergone laparoscopic oesophageal cardiomyotomy without an anti-reflux procedure by a single surgeon, were identified. Data were collected from patient notes. Results are reported as median (range).
resultsThere were 20 patients (13 males and 7 females). Median age at surgery was 12 years (5-15 years) and weight was 38 kg (15-53 kg). Median duration of symptoms before surgery was 2.4 years (1.5-5 years). Duration of surgery was 96 min (60-160 min). Four patients (20%) required conversion to the open technique. In the remaining 16 children, fluids were started at a median of 7 h (6-8 h) post-operatively, and solid feeds were commenced at 22 h (20-24 h). Median length of hospital stay was 3 days (1-5 days). Median length of follow-up was 60 months (8-114 months). None of the patients had evidence of gastro-oesophageal reflux post-operatively. Five patients (25%) continued to experience dysphagia, with one of them also experiencing vomiting. Two patients were found to have oesophageal stricture and three patients were found to have oesophageal dysmotility. The remaining patients are asymptomatic.
conclusionsThese results suggest that laparoscopic oesophageal cardiomyotomy is a valid treatment in children with achalasia. In our experience, an adjunctive anti-reflux procedure is not required, as there was no evidence of post-operative gastro-oesophageal reflux in all patients. Oesophageal stricture and dysmotility account for residual post-operative symptoms.
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