Nutcracker esophagus surgery: Difference between revisions
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== | == Overview == | ||
Pneumatic [[esophageal dilatation|dilatation]] of the esophagus, which is an endoscopic technique where a high-pressure balloon is used to stretch the muscles of the LES, can be performed to improve symptoms.<ref name=Castell>{{cite journal | author = Tutuian R, Castell D | title = Esophageal motility disorders (distal esophageal spasm, nutcracker esophagus, and hypertensive lower esophageal sphincter): modern management | journal = Curr Treat Options Gastroenterol | volume = 9 | issue = 4 | pages = 283-94 | year = 2006 | id = PMID 16836947}}</ref><ref name=Kahrilas>{{cite journal | author = Kahrilas P | title = Esophageal motility disorders: current concepts of pathogenesis and treatment. | journal = Can J Gastroenterol | volume = 14 | issue = 3 | pages = 221-31 | year = 2000 | id = PMID 10758419}}</ref> | Pneumatic [[esophageal dilatation|dilatation]] of the esophagus, which is an endoscopic technique where a high-pressure balloon is used to stretch the muscles of the LES, can be performed to improve symptoms.<ref name=Castell>{{cite journal | author = Tutuian R, Castell D | title = Esophageal motility disorders (distal esophageal spasm, nutcracker esophagus, and hypertensive lower esophageal sphincter): modern management | journal = Curr Treat Options Gastroenterol | volume = 9 | issue = 4 | pages = 283-94 | year = 2006 | id = PMID 16836947}}</ref><ref name=Kahrilas>{{cite journal | author = Kahrilas P | title = Esophageal motility disorders: current concepts of pathogenesis and treatment. | journal = Can J Gastroenterol | volume = 14 | issue = 3 | pages = 221-31 | year = 2000 | id = PMID 10758419}}</ref> | ||
In patients who have no response to medical or endoscopic therapy, surgery can be performed. A [[Heller myotomy]] involves an incision to disrupt the LES and the [[myenteric plexus]] that innervates it. It is used as a final treatment option in patients who do not respond to other therapies.<ref name=Castell/><!-- | In patients who have no response to medical or endoscopic therapy, surgery can be performed. A [[Heller myotomy]] involves an incision to disrupt the LES and the [[myenteric plexus]] that innervates it. It is used as a final treatment option in patients who do not respond to other therapies.<ref name=Castell/><!-- | ||
--><ref>{{cite journal | author = Traube M, Tummala V, Baue A, McCallum R | title = Surgical myotomy in patients with high-amplitude peristaltic esophageal contractions. Manometric and clinical effects. | journal = Dig Dis Sci | volume = 32 | issue = 1 | pages = 16-21 | year = 1987 | id = PMID 3792178}}</ref><ref>{{cite journal | author = Richter J, Castell D | title = Surgical myotomy for nutcracker esophagus. To be or not to be? | journal = Dig Dis Sci | volume = 32 | issue = 1 | pages = 95-6 | year = 1987 | id = PMID 3792184}}</ref> | --><ref>{{cite journal | author = Traube M, Tummala V, Baue A, McCallum R | title = Surgical myotomy in patients with high-amplitude peristaltic esophageal contractions. Manometric and clinical effects. | journal = Dig Dis Sci | volume = 32 | issue = 1 | pages = 16-21 | year = 1987 | id = PMID 3792178}}</ref><ref>{{cite journal | author = Richter J, Castell D | title = Surgical myotomy for nutcracker esophagus. To be or not to be? | journal = Dig Dis Sci | volume = 32 | issue = 1 | pages = 95-6 | year = 1987 | id = PMID 3792184}}</ref> | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pneumatic dilatation of the esophagus, which is an endoscopic technique where a high-pressure balloon is used to stretch the muscles of the LES, can be performed to improve symptoms.[1][2] In patients who have no response to medical or endoscopic therapy, surgery can be performed. A Heller myotomy involves an incision to disrupt the LES and the myenteric plexus that innervates it. It is used as a final treatment option in patients who do not respond to other therapies.[1][3][4]
References
- ↑ 1.0 1.1 Tutuian R, Castell D (2006). "Esophageal motility disorders (distal esophageal spasm, nutcracker esophagus, and hypertensive lower esophageal sphincter): modern management". Curr Treat Options Gastroenterol. 9 (4): 283–94. PMID 16836947.
- ↑ Kahrilas P (2000). "Esophageal motility disorders: current concepts of pathogenesis and treatment". Can J Gastroenterol. 14 (3): 221–31. PMID 10758419.
- ↑ Traube M, Tummala V, Baue A, McCallum R (1987). "Surgical myotomy in patients with high-amplitude peristaltic esophageal contractions. Manometric and clinical effects". Dig Dis Sci. 32 (1): 16–21. PMID 3792178.
- ↑ Richter J, Castell D (1987). "Surgical myotomy for nutcracker esophagus. To be or not to be?". Dig Dis Sci. 32 (1): 95–6. PMID 3792184.