Improved outcome after extended gastric myotomy for achalasia.

  title={Improved outcome after extended gastric myotomy for achalasia.},
  author={Brant Kurt Oelschlager and Lily Yu-Li Chang and Carlos A. Pellegrini},
  journal={Archives of surgery},
  volume={138 5},
  pages={490-5; discussion 495-7}
HYPOTHESIS There is general agreement that a Heller myotomy should extend 6 to 7 cm above the gastroesophageal junction. Results of most previous studies have recommended that the myotomy extend 1 to 1.5 cm below the gastroesophageal junction. We speculated that the effectiveness of the operation could be improved if a longer, 3-cm myotomy was carried out below the gastroesophageal junction, as it would more completely obliterate the lower esophageal sphincter. We, therefore, changed our… CONTINUE READING


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