Results of the Laparoscopic Heller-Dor Procedure for Pediatric Esophageal Achalasia

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2003 Aug 14

PMID 12915969

Citations 17

Authors

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

Affiliations

Soon will be listed here.

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 degrees 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.

Citing Articles

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Quality-of-life Assessment among Children with Esophageal Achalasia.

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Obstructive bronchitis and recurrent pneumonia in esophageal achalasia in a child: A CARE compliant case report.

Mashkov A, Pykchteev D, Sigachev A, Bobylev A, Mayr J Medicine (Baltimore). 2018; 97(23):e11016.

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