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2011 | 6 | 5 | 640-644

Article title

Laparoscopic myotomy or pneumatic dilatation for achalasia treatment?


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1 - 10 - 2011
9 - 8 - 2011


  • Clinic of Surgery of Kaunas Medical University, Eiveniu 2, Kaunas, 50009, Lithuania
  • Clinic of Surgery of Kaunas Medical University, Eiveniu 2, Kaunas, 50009, Lithuania
  • Clinic of Surgery of Kaunas Medical University, Eiveniu 2, Kaunas, 50009, Lithuania
  • Clinic of Surgery of Kaunas Medical University, Eiveniu 2, Kaunas, 50009, Lithuania
  • Clinic of Gastroenterology of Kaunas Medical University, Eiveniu 2, Kaunas, 50009, Lithuania
  • Clinic of Gastroenterology of Kaunas Medical University, Eiveniu 2, Kaunas, 50009, Lithuania
  • Clinic of Gastroenterology of Kaunas Medical University, Eiveniu 2, Kaunas, 50009, Lithuania


  • [1] Bonavina L. Minimally invasive surgery for esophageal achalasia. World J Gastroenterol 2006; 12(37):5921–5925 [WoS]
  • [2] Vaezi MF. Achalasia: diagnosis and management. Semin Gastrointest Dis 1999; 10(3):103–112 [PubMed]
  • [3] Wright AS, Williams CW, Pellegrini CA, Oelschlager BK. Long-term outcomes confirm the superior efficacy of extended Heller myotomy with Toupet fundoplication for achalasia. Surg Endosc 2007 [WoS][PubMed]
  • [4] Gerson LB. Pneumatic dilation or myotomy for achalasia? Gastroenterology 2007; 132(2):811–813 http://dx.doi.org/10.1053/j.gastro.2006.12.057[Crossref]
  • [5] Marshall JB. The long-term efficacy of pneumatic dilation and Heller myotomy for the treatment of achalasia. Clin Gastroenterol Hepatol 2006; 4(11):1420–1421 http://dx.doi.org/10.1016/j.cgh.2006.09.004[Crossref]
  • [6] Mikaeli J, Bishehsari F, Montazeri G, Yaghoobi M, Malekzadeh R. Pneumatic balloon dilatation in achalasia: a prospective comparison of safety and efficacy with different balloon diameters. Aliment Pharmacol Ther 2004; 20(4):431–436 http://dx.doi.org/10.1111/j.1365-2036.2004.02080.x[Crossref]
  • [7] Zaninotto G, Annese V, Costantini M, Del GA, Costantino M, Epifani M et al. Randomized controlled trial of botulinum toxin versus laparoscopic Heller myotomy for esophageal achalasia. Ann Surg 2004; 239(3):364–370 http://dx.doi.org/10.1097/01.sla.0000114217.52941.c5[Crossref]
  • [8] Allescher HD, Storr M, Seige M, Gonzales-Donoso R, Ott R, Born P et al. Treatment of achalasia: botulinum toxin injection vs. pneumatic balloon dilation. A prospective study with long-term follow-Up. Endoscopy 2001; 33(12):1007–1017 http://dx.doi.org/10.1055/s-2001-18935[Crossref]
  • [9] Csendes A, Braghetto I, Henriquez A, Cortes C. Late results of prospective randomised study comparing forceful dilatation and oesophagomyotomy in patients with achalasia. Gut 1989; 30:299–304 http://dx.doi.org/10.1136/gut.30.3.299[Crossref]
  • [10] Cacchione RN, Tran DN, Rhoden DH. Laparoscopic Heller myotomy for achalasia. Am J Surg 2005; 190(2):191–195 http://dx.doi.org/10.1016/j.amjsurg.2005.05.010[Crossref]
  • [11] Vantrappen G, Hellemans J. Treatment of achalasia and related motor disorders. Gastroenterology 1980; 79:144–154
  • [12] Spiess AE, Kahrilas PJ. Treating achalasia: from whalebone to laparoscope. JAMA 1998; 280(7):638–642 http://dx.doi.org/10.1001/jama.280.7.638[Crossref]
  • [13] West RL, Hirsch DP, Bartelsman JF, de BJ, Ferwerda G, Tytgat GN et al. Long term results of pneumatic dilation in achalasia followed for more than 5 years. Am J Gastroenterol 2002; 97(6):1346–1351 http://dx.doi.org/10.1111/j.1572-0241.2002.05771.x[Crossref]
  • [14] Vaezi MF. Quantitative methods to determine efficacy of treatment in achalasia. Gastrointest Endosc Clin N Am 2001; 11:409–424
  • [15] Vaezi MF, Baker ME, Richter JE. Assessment of esophageal emptying post-pneumatic dilation: use of the timed barium esophagram. Am J Gastroenterol 1999; 94(7):1802–1807 http://dx.doi.org/10.1111/j.1572-0241.1999.01209.x[Crossref]
  • [16] Patti MG, Fisichella PM, Perretta S, Galvani C, Gorodner MV, Robinson T et al. Impact of minimally invasive surgery on the treatment of esophageal achalasia: a decade of change. J Am Coll Surg 2003; 196(5):698–703 http://dx.doi.org/10.1016/S1072-7515(02)01837-9[Crossref]
  • [17] Eckardt VF, Aignherr C, Bernhard G. Predictors of outcome in patients with achalasia treated by pneumatic dilation. Gastroenterology 1992; 103(6):1732–1738
  • [18] Katz PO, Gilbert J, Castell DO. Pneumatic dilation is effective long-term treatment for achalasia. Dig Dis Sci 1998; 43:1973–1977 http://dx.doi.org/10.1023/A:1018886626144[Crossref]
  • [19] Ferguson MK. Achalasia: current evaluation and therapy. Ann Thorac Surg 1991; 52(2):336–342 http://dx.doi.org/10.1016/0003-4975(91)91373-4[Crossref]
  • [20] Burpee SE, Mamazza J, Schlachta CM, Bendavid Y, Klein L, Moloo H et al. Objective analysis of gastroesophageal reflux after laparoscopic Heller myotomy: an anti-reflux procedure is required. Surg Endosc 2005; 19(1):9–14 http://dx.doi.org/10.1007/s00464-004-8932-8[Crossref]
  • [21] Richards WO, Torquati A, Holzman MD, Khaitan L, Byrne D, Lutfi R et al. Heller myotomy versus Heller myotomy with Dor fundoplication for achalasia: a prospective randomized double-blind clinical trial. Ann Surg 2004; 240:405–412 http://dx.doi.org/10.1097/01.sla.0000136940.32255.51[Crossref]
  • [22] Lyass S, Thoman D, Steiner JP, Phillips E. Current status of an antireflux procedure in laparoscopic Heller myotomy. Surg Endosc 2003; 17(4):554–558. http://dx.doi.org/10.1007/s00464-002-8604-5[Crossref]
  • [23] Hunter JG, Trus TL, Branum GD, Waring JP. Laparoscopic Heller myotomy and fundoplication for achalasia. Ann Surg 1997; 225(6):655–664 http://dx.doi.org/10.1097/00000658-199706000-00003[Crossref]
  • [24] Swanstrom LL, Pennings J. Laparoscopic esophagomyotomy for achalasia. Surg Endosc 1995; 9(3):286–290 http://dx.doi.org/10.1007/BF00187770[Crossref]

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