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

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dc.contributor.authorChams Anturi, Abraham
dc.contributor.authorRomero Espitia, Walter
dc.contributor.authorLoockhartt, Angelo
dc.contributor.authorMoreno Villamizar, María Daniela
dc.contributor.authorPedraza Ciro, Mauricio
dc.contributor.authorVillamizar, Joaquín Enrique
dc.contributor.authorCabrera, Luis Felipe
dc.contributor.authorTinoco Guzman, Nestor Julian
dc.contributor.authorBeltrán, Jorge
dc.contributor.authorFierro, Fernando
dc.contributor.authorHolguin, Alejandra
dc.contributor.authorAragón, Silvia
dc.contributor.authorGiraldo, Carolina
dc.contributor.authorRodriguez, Maria
dc.date.accessioned2021-03-08T17:00:37Z
dc.date.available2021-03-08T17:00:37Z
dc.date.issued2021
dc.description.abstractenglishBackground: 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.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1089/lap.2020.0055
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/5571
dc.language.isospa
dc.publisherMary Ann Liebert, Inc.spa
dc.publisher.journalJournal of Laparoendoscopic and Advanced Surgical Techniquesspa
dc.relation.ispartofseriesJournal of Laparoendoscopic and Advanced Surgical Techniques, Vol. 31, Nro. 2, 2021, p. 230-235spa
dc.relation.urihttps://www.liebertpub.com/doi/10.1089/lap.2020.0055
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.localAcceso abiertospa
dc.subject.keywordsDeglutition disordersspa
dc.subject.keywordsEsophageal achalasiaspa
dc.subject.keywordsEsophageal diseasesesspa
dc.subject.keywordsOphageal motility disordersspa
dc.subject.keywordsHeller myotomyspa
dc.titleMulticenter Evaluation with Eckardt Score of Laparoscopic Management with Heller Myotomy and Dor Fundoplication for Esophageal Achalasia in a Pediatric Population in Colombiaspa
dc.title.translatedMulticenter Evaluation with Eckardt Score of Laparoscopic Management with Heller Myotomy and Dor Fundoplication for Esophageal Achalasia in a Pediatric Population in Colombiaspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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