Abstract

CABRAL, D; REYES, R; MOSQUEIRA, N  and  GODOY, M. TRATAMIENTO DE LA ACALASIA EN EL HOSPITAL NACIONAL DE ITAUGUA: TREATMENT OF ACHALASIA IN THE HOSPITAL NACIONAL DE ITAUGU. Rev. Cir. Parag. [online]. 2014, vol.38, n.2, pp.16-21. ISSN 2307-0420.

SUMMARY Background: Achalasia is a primary Motor disorder of the esophagus in which there is an inefficient lower esophageal sphincter relaxation with progressive loss of esophageal peristalsis, as a result of two mechanisms gradual dilation of the esophagus occurs. Achalasia can be primary (idiopathic) and secondary. The most common cause of secondary achalasia is Chagas disease. To analyze our experience with data from patients diagnosed and treated for achalasia in the Department of Surgery of the National Hospital of Itaugua. Design: Observational. Material And Methods: Patients diagnosed with achalasia in General Surgery Itaugua National Hospital between January 2008 and December 2013 All cases of achalasia diagnosed consecutively in the mentioned period and institution that could be surgically operated. Cases without surgical intervention were excluded. Age, gender was considered; also interested us Patients presenting with anemia and the reason for consultation which were presented. Conclusions: myotomy associated with a partial laparoscopic fundoplication is safe and effective for the relief of dysphagia in patients with achalasia art. In the absence of contraindications dolicomegaesofagos esophagectomy should be evaluated.

Keywords : Achalasia; Esophagus; Disphagia; Chagas Desease.

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