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April 1, 1972British journal of surgery

The treatment of achalasia by cardiomyotomy

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Why the study?

Does early operation using a modified Heller's procedure improve outcomes in patients with achalasia?

Population

27 cases of achalasia treated in the Tehidy Thoracic Surgical Unit

Design

Case_series

Authors

HWHenry WingfieldAKA Karwowski

Discussion

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Implication

Prolonged conservative management may worsen achalasia outcomes; leaves open whether early modified Heller myotomy improves results prospectively.

Structured PICO

Does early operation using a modified Heller's procedure improve outcomes in patients with achalasia?

P
Population
27 cases of achalasia treated in the Tehidy Thoracic Surgical Unit
I
Intervention
Modified Heller's procedure (cardiomyotomy) with air insufflation of the oesophagus
O
Outcome
Treatment outcome

Early surgical intervention with a modified Heller's procedure yields better outcomes for achalasia than prolonged conservative management.

Cite This Study

Wingfield et al. (1972) studied this question.

synapsesocial.com/papers/6a8d0a51962c3a86cc1cd082https://doi.org/10.1002/bjs.1800590408
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Reflux after cardiomyotomy1965 · 38 citations
  2. 2OBSERVATIONS ON CARDIOSPASM AND ITS TREATMENT BY BRUSQUE DILATATION1956 · 23 citations
  3. 3Cardiospasm1961 · 21 citations