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  • Title: [Late results after the Mark Belsey IV antireflux procedure in achalasia].
    Author: Simion S, Ticmeanu F, Croitoru A, Angelescu M, Mastalier B, Mincu C, Seicaru T.
    Journal: Chirurgia (Bucur); 2001; 96(2):207-11. PubMed ID: 12731157.
    Abstract:
    Cardial achalasia (cardiospasm, megaesophagus) represents the failure or lack of relaxation capacity of the inferior esophageal sphincter; it is the second esophageal disease and is considered a premalignant lesion. Treatment of achalasia is surgical but palliative, considering the lack of an etiopathogenic therapy for this moment. We present a retrospective study done on 19 patients (10 males and 9 females, with a mean age of 49 years) operated in "Colentina" Surgical Clinic in the period of 1996-1999 for achalasia (presenting symptoms-dysphagia, regurgitation, weight loss) by extramucosal esocardiomyotomy practiced on a length of 5-10 cm, by thoracic approach, followed by the Mark Belsey IV antireflux procedure. Results were good, without reflux pathology or dysphagia in the postoperative evolution.
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