Multicenter Evaluation with Eckardt Score of Laparoscopic Management with Heller Myotomy and Dor Fundoplication for Esophageal Achalasia in a Pediatric Population in Colombia

Background: Esophageal achalasia is a rare, chronic, and progressive neurodegenerative motility disorder that is characterized by a lack of relaxation of the lower esophageal sphincter. Laparoscopic Heller myotomy (LHM) is the ideal in our population. Multiple surgical and medical treatments have been raised. However, there has been a need to expand studies and generate a clear algorithm for an ideal therapeutic algorithm. Methods: Clinical record was retrospectively analyzed of patients who underwent LHM and Dor fundoplication evaluated with Eckardt score, at four Colombian medical centers between February 2008 and December 2018. Results: There were a total of 21 patients (12 males and 9 females, ages 8 months to 16 years). The time from onset of symptoms to surgery was between 5 months and 14 years. One patient had esophageal mucosa perforation, 2 patients were converted to open surgery, and 1 patient had a postoperative fistula. All patients were discharged 3 to 9 days postoperatively, at which time they tolerated normal oral feeding. During follow-up, all the patients had an improvement in nutritional status and a greater functional recovery; 4 had reflux and 1 had reflux-like symptoms. Conclusion: LHM with Dor-type fundoplication maintains the effectiveness of open surgery with low postoperative morbidity and mortality and good functional results according to Eckardt score evaluation. © Copyright 2021, Mary Ann Liebert, Inc., publishers 2021.

• Autores: Chams Anturi, Abraham; Romero Espitia, Walter; Loockhartt, Angelo; Moreno Villamizar, María Daniela; Pedraza Ciro, Mauricio; Villamizar, Joaquín Enrique; Cabrera, Luis Felipe; Tinoco Guzman, Nestor Julian; Beltrán, Jorge; Fierro, Fernando; Holguin, Alejandra; Aragón, Silvia; Giraldo, Carolina; Rodriguez, Maria
• Tipo de recurso: https://purl.org/coar/resource_type/c_6501
• Fecha de publicación: 2021
• Institución: Universidad El Bosque
• Repositorio: Repositorio U. El Bosque
• Idioma: spa
• OAI Identifier: oai:repositorio.unbosque.edu.co:20.500.12495/5571
• Acceso en línea: https://hdl.handle.net/20.500.12495/5571; https://doi.org/10.1089/lap.2020.0055
• Palabra clave: Deglutition disorders; Esophageal achalasia; Esophageal diseaseses; Ophageal motility disorders; Heller myotomy
• License: Acceso abierto