Results of the laparoscopic Heller-Dor procedure for pediatric esophageal achalasia

G. Mattioli, C. Esposito, A. Pini Prato, P. Doldo, M. Castagnetti, A. Barabino, P. Gandullia, A. M. Staiano, A. Settimi, S. Cucchiara, G. Montobbio, V. Jasonni

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Esophageal achalasia is not a frequent disorder in children and different treatments have been proposed during past decades. This study reviews the results of the laparoscopic Heller-Dor procedure performed in pediatric patients in two different surgical units. Methods: We included the patients aged <14 years with a minimum follow-up of 6 months operated on in the period 1994-2001. A single longitudinal anterior esophageal myotomy (Heller) and a 180° anterior gastropexy (Dor) were laparoscopically performed. The patients were checked to detect intra- or postoperative complications and recurrence. Results: Twenty children were operated on. Mean follow-up was 45 months (range 6-102). Postoperative clinical score was Visick 1 in 15 cases and Visick 2 in five. Conclusions: As complication and recurrence rates are very low we consider modified Heller myotomy and Dor gastropexy through a laparoscopic approach our first choice to treat esophageal achalasia in the pediatric population.

Original languageEnglish
Pages (from-to)1650-1652
Number of pages3
JournalSurgical Endoscopy and Other Interventional Techniques
Volume17
Issue number10
DOIs
Publication statusPublished - Oct 2003

Keywords

  • Achalasia
  • Children
  • Esophagus
  • Laparoscopy

ASJC Scopus subject areas

  • Surgery

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