ArticleUpdates in surgery2011
Laparoscopic Heller myotomy plus Dor fundoplication in 137 achalasic patients: results on symptoms relief and successful outcome predictors.
Article in Updates in surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 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
- Heller myotomy versus Heller myotomy with Dor fundoplication for achalasia: long-term symptomatic follow-up of a prospective randomized controlled trial.Surgical endoscopy · 2018Trial
- Robotic-Assisted Epiphrenic and Mid-Oesophageal Diverticulectomy: A Tertiary Centre Experience.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Observational
- Laparoscopic Heller myotomy with Dor fundoplication for achalasia: an outcome in a tertiary health center of Nepal.Frontiers in surgery · 2026Article
- Long-term outcomes of treatment for achalasia: Laparoscopic Heller myotomy versus POEM.Annals of gastroenterological surgery · 2024Review
- Long-term outcomes of laparoscopic Heller's myotomy with angle of His accentuation in patients of achalasia cardia.Surgical endoscopy · 2024Article
- Long-term (17 years) subjective and objective evaluation of the durability of laparoscopic Heller esophagomyotomy in patients with achalasia of the esophagus (90% of follow-up): a real challenge to POEM.Surgical endoscopy · 2022Article
- Robotic Heller-Dor for Idiopathic Achalasia: the Pisa experience.Updates in surgery · 2021Article
- Bridging the Gap between Advancements in the Evolution of Diagnosis and Treatment towards Better Outcomes in Achalasia.BioMed research international · 2019Review
- Outcomes in patients with over 1-year follow-up after peroral endoscopic myotomy (POEM).Surgical endoscopy · 2017Article
- Quality of life assessment after peroral endoscopic myotomy.Surgical endoscopy · 2015Article
- Current status in the treatment options for esophageal achalasia.World journal of gastroenterology · 2013Review
- 2011 update on esophageal achalasia.World journal of gastroenterology · 2012Review
- 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
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aim of this study was to review our experience with laparoscopic Heller-Dor (LHD) intervention and identify possible success predictors. LHD is an effective and safe treatment for achalasia. However, open debates are still held on which antireflux procedure should be added and on how long the myotomy on to the stomach should be. A lot of successful outcome predictors have been investigated with sometimes conflicting results. 137 achalasic patients underwent LHD at our institution. Pre-operatively all underwent a complete morphologic and functional work-up. Follow-up visits were scheduled at 1, 3, 6 months and then every year. Median follow-up was 65 months. Pre-operatively dysphagia was present in 100% cases, regurgitation in 84.6% and mean lower esophageal sphincter (LES) resting pressure was 29.1 mmHg. We observed 3 mucosal perforations. Mortality was null. The median of oral food intake resumption was second post-operative day and mean post-operative hospital stay was 3.4 days. Dysphagia was treated with success in 94.78% cases and regurgitation in 82.84%. Post-operative mean LES resting pressure was 13.64 mmHg. New-onset heartburn was observed in 10.9% of patients. 9.7% of cases required pneumatic dilations and 1.5% a laparoscopic re-do myotomy. An high pre-operative dysphagia score resulted to be the only statistically significant prognostic factor. Sex, age, dysphagia duration and LES resting pressure did not reach statistical significance. LHD is a safe procedure with good results in about 90% of patients even at a long-term follow-up. Predictors of successful outcome are still poorly plain and sometimes conflicting in literature.
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Registered trials
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