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Cirugía paraguaya
On-line version ISSN 2307-0420
Abstract
FORCADO, Pedro; LOPEZ, Jessica Franco and ECHAGUE, Teresa. Experience in the videolaparoscopic surgical management of achalasia at the Hospital Nacional de Itauguá, period 2017-2021. Cir. parag. [online]. 2023, vol.47, n.3, pp.19-22. ISSN 2307-0420. https://doi.org/10.18004/sopaci.2023.diciembre.19.
Introduction: achalasia is a motility disorder of the distal esophagus of unknown etiology, manometrically characterized by loss of esophageal peristalsis and lack of lower esophageal sphincter relaxation; radiograph- ically by aperistalsis, esophageal dilatation, with minimum opening of the lower esophageal sphincter, and endoscopically by dilated esophagus. Objective: prove the experience of the videolaparoscopic treatment of esophageal achalasia in the Hospital Nacional de Itauguá. Methods: Observational, descriptive, cross-sectional, retrospective study. Results: A total of 31 patients were evaluated; 15 were men and 16 were women; average age was 54.19 years old. Dysphagia was the predominant consultation motive, followed by regurgitation, vomiting and sternal pain. Most of the patients presented a Grade II esophageal dilatation through esophagram. Upper endoscopy was used in 100% of the patients as a diagnosis method, esophagram was used in 74%, and manometry was used in 32%. The most frequently used surgical technique was laparoscopic Heller’s cardiomyotomy with Dor fundoplication (71%). No mortality rate was registered. Conclusion: Dysphagia is the main reason for consultation and laparoscopic Heller’s cardiomyotomy with Dor fundo- plication is the most frequently used surgery for esophageal achalasia.
Keywords : achalasia; esophagus; dysphagia; manometry; Heller- myotomy.