ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Outcomes of minimally invasive myotomy for the treatment of achalasia in the elderly.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Major complications of pneumatic dilation and Heller myotomy for achalasia: single-center experience and systematic review of the literature.The American journal of gastroenterology · 2012Pooled it
- Achalasia in Geriatric Patients: A Comprehensive Overview.Digestive diseases and sciences · 2026Review
- Achalasia in the Elderly: Diagnostic Approach and a Proposed Treatment Algorithm Based on a Comprehensive Literature Review.Journal of clinical medicine · 2021Review
- Role of biodegradable stents in octogenarians with achalasia.Endoscopy international open · 2021Article
- Clinical Utility of Esophageal manometry in the patients with dysphagia - Experience from Sudan.International journal of health sciences · 2016Article
- National outcomes of laparoscopic Heller myotomy: operative complications and risk factors for adverse events.Surgical endoscopy · 2015Article
- Laparoscopic Heller myotomy for achalasia: does the age of the patient affect the outcome?World journal of surgery · 2015Review
- Laparoscopic Heller myotomy can be used as primary therapy for esophageal achalasia regardless of age.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Article
- Robotic heller myotomy and Dor fundoplication for achalasia in a woman with morbid obesity.Journal of robotic surgery · 2012Article
- Training in peroral endoscopic myotomy (POEM) for esophageal achalasia.Therapeutics and clinical risk management · 2012Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAn increasing number of elderly patients diagnosed with achalasia are being referred for minimally invasive myotomy. Little data are available about the operative outcomes in this population. The objective of this study was to review our experience with this procedure in an elderly population.
methodsA retrospective review was performed of 51 consecutive patients, 65 years of age or older, diagnosed with achalasia who underwent a minimally invasive myotomy at our institution. Prior therapies, perioperative outcomes, and postoperative interventions were also analyzed.
resultsOf the 51 patients, 28 (55%) had undergone prior endoscopic therapy, and 2 patients (7%) had a prior myotomy. Mean duration of symptoms was 10.9 years (range, 0.5 to 50). No perioperative mortality occurred, and the median hospital stay was 3 days. Two patients (3.8%) had complications, including a gastric mucosal injury and one atelectasia. Eleven patients (21%) required additional therapy postoperatively. Symptom improvement was described in all patients.
conclusionLaparoscopic Heller myotomy can safely be performed in elderly patients, providing significant symptom relief. No evidence suggests that surgery should not be considered a first-line treatment. Advanced age does not appear to adversely affect outcomes of laparoscopic Heller myotomy.
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