Laparoscopic long myotomy and Dor fundoplication guided by perioperative endoscopic ultrasound

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• 作者：Daisuke Ueno ; Hideo Matsumoto ; Noriaki Manabe ; Takaaki Ensako…
• 关键词：Esophageal function disorder ; Long myotomy ; Endoscopic ultrasound ; Dor fundoplication ; Esophageal muscle hypertrophy
• 刊名：Esophagus
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：13
• 期：4
• 页码：391-394
• 全文大小：718 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Gastroenterology
  Pathology
  Thoracic Surgery
  Surgical Oncology
  Oncology
  
• 出版者：Springer Japan
• ISSN：1612-9067
• 卷排序：13

文摘

An 80-year-old man with diffuse esophageal spasm underwent high-resolution manometry perioperatively and postoperatively. Integrated relaxation pressure was normal, and distal latency and peristaltic waves had disappeared. Endoscopic ultrasound (EUS) revealed esophageal muscle layer thickening to more than 1 cm in an area spanning the esophagogastric junction to the oral side. Laparoscopic long myotomy (LM) was performed followed by Dor fundoplication. The patient was discharged with a good postoperative course. Perioperative EUS-guided LM via the transhiatal approach was useful in this case.