RESUMEN
Achalasia is a primary esophageal motility disorder characterized by lack of esophageal peristalsis and partial or absent relaxation of the lower esophageal sphincter in response to swallowing. Available treatment modalities are not curative but rather intend to relieve patient' symptoms. A laparoscopic Heller myotomy with Dor fundoplication is associated with high clinical success rates and low incidence of postoperative reflux. A properly executed operation following critical surgical steps is key for the success of the operation.
Asunto(s)
Acalasia del Esófago/cirugía , Fundoplicación/métodos , Miotomía de Heller/métodos , Laparoscopía/métodos , Esfínter Esofágico Inferior/cirugía , Esofagoplastia/efectos adversos , Reflujo Gastroesofágico/prevención & control , Humanos , Periodo Posoperatorio , Resultado del TratamientoRESUMEN
Surgical treatment of gastroesophageal reflux disease (GERD) aims to control patients' symptoms, improve patients' quality of life, and prevent GERD-related complications (bleeding, esophageal stenosis, Barrett's esophagus, and/or esophageal adenocarcinoma). A careful patient selection and a properly executed operation are key for the success of the procedure. We aimed to describe the operative technique of a laparoscopic Nissen fundoplication, stressing the critical surgical steps we believe should be respected to obtain good surgical outcomes.