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Cirugía paraguaya

versión On-line ISSN 2307-0420


BENITEZ GARCIA, Fabio Derlis  y  RAMIREZ SOTOMAYOR, Julio. MORBIMORTALITY OF THE ACALASIA IN THE NATIONAL HOSPITAL OF ITAUGUÁ 2013 - 2016. Rev. Cir. Parag. [online]. 2018, vol.42, n.3, pp.8-11. ISSN 2307-0420.

This work is based on retrospective and prospective observational studies carried out on 35 patients admitted and intervened in our service, from June 2013 to May 2016, taking in to account reasons for consultation,

time of evolution, nutritional status of admission, preoperative preparation, behavior surgery and postoperative evolution up to a period of 30 days after discharge.


: To evaluate the postoperative.

evolution of the 35 patients, considering the stage of the disease and the technique used.


: retrospective and prospective observational, transverse cut.

Material and Method

: A total of 35 patients with achalasia underwent surgery with various techniques, most of them with laparoscopic procedures, evaluating morbidity and mortality pre and postoperatively up to 30 days after discharge.


: Comparisons are made using statistical methods. A large predominance of men over women was observed, with an average age of 50 years, being the main reason for consultation the dysphagia, with a duration of symptoms, on average of 3 years, being less than 7 months and the highest, 45 years. The surgical method used was predominantly laparoscopic. There were 2 patients in need of total esophagectomy, due to evolution of the disease and graduation, requiring intensive care in the immediate postoperative period, 1 patient with esophageal perforation and 1 patient with a posterior fistula. In addition, 1 patient with a subsequent diagnosis of adenocarcinoma of the middle third, stage III, in 2 years, included with in the period of the investigation, having only one operative mortality.


: La paroscopic procedures were the techniques of choice, the preferred technique being Heller with Dor patch, with a very low morbidity and one mortality.

Palabras clave : Achalasia; Dorpatch.

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