OUTCOME OF ACHALASIA CARDIA MANAGED WITH TRANSABDOMINAL HELLER’S CARDIOMYOTOMY AND ANTERIOR DOR PATCH

Abstract

Objectives: To evaluate relief of dysphagia and appearance of reflux symptoms in patients of achalasia cardia treated with Tran’s abdominal cardiomyotomy and anterior Dor patch.
Study design: Quasi experimental study.
Place and duration of study: Combined Military Hospital Quetta and Combined Military Hospital Rawalpindi from Jan 2006 to Jan 2012.
Methodology: Twenty three cases were diagnosed to have achalasia cardia on barium swallow, upper GI endoscopy and CT scan chest in selective cases. They were treated with transabdominal modified Heller’s cardiomyotomy and anterior Dor patch as an antireflux procedure. Relief of dysphagia and occurrence of reflux symptoms were evaluated clinically.
Results: All (100%) operated patients had symptomatic relief of dysphagia over follow up of six months. No patient had post op reflux symptoms.
Conclusion: Transabdominal Heller’s cardiomyotomy with anterior Dor patch is a safe and effective surgical option for achalasia cardia.