Trial reportJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2010
Significance of limited hiatal dissection in surgery for achalasia.
Trial report in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia.The Cochrane database of systematic reviews · 2022Pooled it
- Surgical treatment of recalcitrant gastroesophageal reflux disease in patients with systemic sclerosis: a systematic review.Langenbeck's archives of surgery · 2021Pooled it
- Is Dor fundoplication optimum after laparoscopic Heller myotomy for achalasia? A meta-analysis.World journal of gastroenterology · 2013Pooled it
- SAGES guidelines for the surgical treatment of esophageal achalasia.Surgical endoscopy · 2012Guideline
- Angle of His Accentuation Is a Viable Alternative to Dor Fundoplication as an Adjunct to Laparoscopic Heller Cardiomyotomy: Results of a Randomized Clinical Study.Digestive diseases and sciences · 2018Trial
- Laparoscopic Dor versus Toupet fundoplication following Heller myotomy for achalasia: results of a multicenter, prospective, randomized-controlled trial.Surgical endoscopy · 2012Trial
- Predicting success after laparoscopic heller myotomy: lessons from 22 years in a resource-limited context.Langenbeck's archives of surgery · 2026Article
- Limited hiatal dissection versus Dor-fundoplication in laparoscopic Heller myotomy for achalasia: First experience in Morocco - A case control comparison study.International journal of surgery case reports · 2025Article
- Long-term outcomes of laparoscopic Heller's myotomy with angle of His accentuation in patients of achalasia cardia.Surgical endoscopy · 2024Article
- Long-term outcomes of per-oral endoscopic myotomy compared to laparoscopic Heller myotomy for achalasia: a single-center experience.Surgical endoscopy · 2021Article
- Surgical management of achalasia.Annals of gastroenterological surgery · 2020Review
- Statement for gastroesophageal reflux disease after peroral endoscopic myotomy from an international multicenter experience.Esophagus : official journal of the Japan Esophageal Society · 2020Article
- Peroral endoscopic myotomy for esophageal achalasia: outcomes of the first over 100 patients with short-term follow-up.Surgical endoscopy · 2016Article
- A prospective analysis of GERD after POEM on anterior myotomy.Surgical endoscopy · 2016Article
- Early clinical experience with the POEM procedure for achalasia.Canadian journal of surgery. Journal canadien de chirurgie · 2015Article
- Data analyses and perspectives on laparoscopic surgery for esophageal achalasia.World journal of gastroenterology · 2015Review
- Peroral endoscopic myotomy (POEM) for esophageal primary motility disorders: analysis of 100 consecutive patients.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015Article
- Peroral endoscopic myotomy for esophageal achalasia.Annals of translational medicine · 2014Review
- Surgical treatment for achalasia: when should it be performed, and for which patients?General thoracic and cardiovascular surgery · 2011Review
- The outcome of 100 patients with achalasia cardia following laparoscopic Heller myotomy with blunt dissection technique.Journal of minimal access surgeryArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIt is speculated that postoperative pathologic gastroesophageal reflux after Heller's myotomy can be diminished if the lateral and posterior phrenoesophageal attachments are left intact. The aim of this study was to evaluate the effectiveness of limited hiatal dissection in patients operated due to achalasia.
methodsProspective, randomized, 3 years follow-up of 84 patients operated due to achalasia. In 26 patients, Heller-Dor with complete hiatal dissection was done (G1), limited hiatal dissection combined with myotomy and Dor's procedure was performed in 36 patients (G2), and with Heller's myotomy alone in 22 (G3). Stationary manometry and 24 h pH study were performed in regular postoperative intervals.
resultsPostoperatively, higher median values of lower esophageal sphincter resting pressures were marked in G2 and G3, while patients in G1 were presented with higher median values of pH acid score (p < 0.001). Abnormal DeMeester score 3 years after surgery was present in 23.1% of patients in G1 and 8.5% and 9.1% in G2 and G3 accordingly. There was no statistical difference between the groups concerning postoperative dysphagia recurrence.
conclusionIndicating further long-term studies, 3 years after the operation limited hiatal dissection compared to complete obtains better reflux control in achalasia patients, regardless of Dor's fundoplication.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.