Long myotomy with antireflux repair for XXXX .

@entity1 @entity66 @entity508 @entity532 @entity7261 @entity1208 @entity854
This report presents the long-term subjective and objective results of esophageal myotomy and fundoplication by thoracotomy in the treatment of @entity1208 . From 1977 to 1995, a total of 16 @entity1 with @entity1208 were referred to our unit and underwent a myotomy with an added partial (n = 12) or total (n = 4) fundoplication. The median follow-up was 6 years. Assessments included clinical evaluation, esophagogram, radionuclide emptying, manometry, 24-hour pH studies, and endoscopy. From the global results, @entity1 with pure @entity508 (n = 8) were compared to @entity1 with @entity508 with an accompanying @entity7261 (n = 8). There were no deaths, and morbidity was minimal. Preoperative symptoms were similar in all @entity1 with @entity508 . After surgery, the clinical outcome was significantly better in @entity1 with @entity508 in the presence of a @entity7261 . Delays in esophageal emptying persisted after surgery. @entity1 with pure @entity508 showed more @entity66 . @entity1 with a @entity7261 had dysfunction mostly in the distal esophagus. Both groups showed signs of @entity854 in the lower esophageal sphincter. Myotomy with antireflux surgery resulted in decreased propulsion and contraction pressure. The resting pressure and relaxation at the level of the lower esophageal sphincter improved, but the @entity854 remained. Failure resulted from either @entity532 (n = 1) or obstruction (n = 4). @entity1 with @entity508 plus a @entity7261 showed better clinical results and improved esophageal function after surgery when compared to @entity1 with pure @entity508 .
