Dor fundoplication after Heller myotomy: Six years of experience in a single centre
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42 Hellenic Journal of Surgery 2013; 85: 1
Dor Fundoplication After Heller Myotomy: Six Years of Experience in a Single Centre Clinical Study A. Tancredi, E. De Santo, A. Fontana, F. Pellegrini, R. Scaramuzzi, A. Cuttitta Received 25/10/2012 Accepted 18/11/2012
Abstract Objective: The current study evaluates six years of experience with laparoscopic Heller myotomy and Dor fundoplication for achalasia in a single-centre and single-surgeon series. Materials and Methods: From 2004 to 2010, 40 patients underwent Heller myotomy followed by Dor fundoplication. Before and after surgery, clinical evaluation and instrumental examinations were performed; clinical evaluation involved a modified DeMeester symptom score system, while instrumental examinations included upper gastrointestinal barium meal, oesophageal manometry, upper endoscopy, and pH monitoring. Changes in clinical and instrumental data before and after surgery were assessed by the evaluation of the differences in DeMeester scores and the investigation of both the oesophageal diameter and resting LES (lower oesophageal sphincter) pressure during patient follow-up, respectively. Results: Heller-Dor treatment significantly improved both dysphagia and regurgitation symptoms (p-values
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