Surgical treatment for nonspecific esophageal motility disorders

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• 作者：Takanori Inose (1)
  Tatsuya Miyazaki (1)
  Shigemasa Suzuki (1)
  Naritaka Tanaka (1)
  Makoto Sakai (1)
  Akihiko Sano (1)
  Takehiko Yokobori (1)
  Makoto Sohda (1)
  Masanobu Nakajima (1) (2)
  Minoru Fukuchi (1)
  Hiroyuki Kato (2)
  Hiroyuki Kuwano (1)
  
• 关键词：Nonspecific ; Esophageal motility disorders ; NEMD
• 刊名：Surgery Today
• 出版年：2013
• 出版时间：August 2013
• 年：2013
• 卷：43
• 期：8
• 页码：877-882
• 全文大小：413KB
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• 作者单位：Takanori Inose (1)
  Tatsuya Miyazaki (1)
  Shigemasa Suzuki (1)
  Naritaka Tanaka (1)
  Makoto Sakai (1)
  Akihiko Sano (1)
  Takehiko Yokobori (1)
  Makoto Sohda (1)
  Masanobu Nakajima (1) (2)
  Minoru Fukuchi (1)
  Hiroyuki Kato (2)
  Hiroyuki Kuwano (1)
  
  1. Department of General Surgical Science, Graduate School of Medicine, Gunma University, Maebashi, Gunma, 371-8511, Japan
  2. Department of Surgical Oncology (Surgery I), Dokkyo Medical University, 880 Kitakobayashi, Mibu-machi, Tochigi, 321-0293, Japan
  

文摘

Purpose Nonspecific esophageal motility disorder (NEMD) is a vague category that includes patients with poorly defined contraction abnormalities observed during esophageal manometry. This study investigated the therapeutic effects of the video-assisted thoracoscopic surgery (VATS) approach using long myotomy and fundopexy for NEMD. Methods The VATS approach using myotomy and fundopexy was performed for 4 patients of NEMD between 2005 and 2008. A total of 4 patients with NEMD that underwent treatment at our institution were analyzed retrospectively. Results The patients included 2 males and 2 females with a median age of 48?years (range 21-4?years). The median duration of NEMD symptoms was 58?months (range 4-08?months). Dysphagia was a primary symptom in all patients. Chest pain was a primary symptom in 3 of 4 patients (75?%). Treatment with medication was attempted before the operation. The median operative time was 344.5?min (range 210-76?min). The median time before starting oral feeding was 2.5?days (range 2-2?days). All patients achieved a significant improvement of their previous condition. Conclusions The VATS approach using myotomy and fundopexy for NEMD is a good treatment in cases resistant to medication and balloon dilation.