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The outcome of laparoscopic surgery with and without short gastric vessel division for achalasia.

Authors :
Akutsu Y
Hanari N
Kono T
Uesato M
Hoshino I
Murakami K
Natsume T
Isozaki Y
Akanuma N
Toyozumi T
Suito H
Matsubara H
Source :
International surgery [Int Surg] 2014 Nov-Dec; Vol. 99 (6), pp. 846-50.
Publication Year :
2014

Abstract

Short gastric vessel division (SGVD) has been performed as a part of fundoplication for achalasia. However, whether or not SGVD is necessary is still unknown. Forty-six patients with achalasia who underwent a laparoscopic surgery with or without SGVD were analyzed. A questionnaire was administered to assess the postoperative improvement. Regarding improvement of dysphagia and postoperative reflux, there were no significant differences between SGVD (+) group and SGVD (-) group (P = 0.588 and P = 0.686, respectively). Nineteen patients (95%) in the SGVD (+) group and 24 (92%) in the SGVD (-) group answered that the surgery was satisfactory (P = 0.756). In the SGVD (+) group, the pre- and postsurgical body weight increase was +7.3%. In the SGVD (-) group, it was 8.2%. There was no significant difference of body weight increase between the 2 groups (P = 0.354). SGVD is not always required in laparoscopic surgery for achalasia.

Details

Language :
English
ISSN :
2520-2456
Volume :
99
Issue :
6
Database :
MEDLINE
Journal :
International surgery
Publication Type :
Academic Journal
Accession number :
25437598
Full Text :
https://doi.org/10.9738/INTSURG-D-13-00177.1