Topic: Achalasia Management: the South American viewpoint

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A special issue of Mini-invasive Surgery  (Online ISSN:2574-1225).

Deadline for manuscript submissions: 27 Sep 2017

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Guest Editor(s)

  • Fernando A.M. Herbella, MD, MSc, PhD
    Department of Surgery, Federal University of São Paulo, Brazil.

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Special Issue Introduction:

Achalasia is a rare disease with an unknown etiology in most cases. Chagas’ Disease may, however, affect the esophagus leading to a disease undistinguished from idiopathic achalasia. South American surgeons, endoscopists and gastroenterologists are experts in the treatment of this condition due to the prevalence of Chagas’ Disease in this continent. Moreover, end-stage disease with esophageal massive dilatation is also common in this geographic area. This special issue brings the large experience of skillful teams in the management of achalasia from the differences between the idiopathic and Chagasic diseases to non-conventional therapy especially for advanced disease.

Keywords:

Achalasia, Chagas' disease, megaesophagus, esophagectomy, myotomy

Submission Information:

Articles of special issue are free of charge for article processing.
For Author Instructions, please refer to http://misjournal.net/pages/view/author_instructions
For Online Submission, please login at http://misjournal.net/login
Submission Deadline: 27 Sep 2017
Contacts: Anne Niu, Managing Editor, editorialoffice@misjournal.net

Published Articles Download All Articles
  • Minimally invasive esophagectomy in achalasia: a more liberal approach to esophageal resection

    Eduardo Crema , Júverson Alves Terra Júnior , Guilherme Azevedo Terra , Celso Junior de Oliveira Teles , Alex Augusto da Silva
    Aim: The advent of minimally invasive abdominal and thoracic surgeries has led to a meaningful reduction in complication and mortality rates among patients undergoing esophagectomy, especially when used for the treatment of benign diseases such as megaesophagus. Methods: Two hundred thirty-one patients, 152 (65.8%) men and 79 (34.2%) women, with a mean age of 52.46 (19-80) years, were treated for advanced megaesophagus between September 1996 and October 2016. Two hundred ten patients (90.91%) had chagasic megaesophagus and 21 patients (9.09%) had idiopathic megaesophagus. Results: Immediate... Read more
    Mini-invasive Surg 2017;1:160-6. | doi:10.20517/2574-1225.2017.26
    Published on: 28 Dec 2017  | Viewed:1170  | Downloaded:86
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  • Endoscopic pneumatic dilatation and peroral endoscopic myotomy in dilated megaesophagus

    Eduardo Turiani Hourneaux de Moura , Eduardo Guimarães Hourneaux de Moura
    Achalasia is a primary esophageal disorderth variable causes, with an incidence between 0.03 to 1/100,000 people, and prevalence of approximately 10/100,000, with no difference between gender. It is more frequent in South and Central America, where Chagas disease is endemic. There are several methods to treat achalasia including endoscopic and surgical procedures, however, all of these methods are palliative. This article discusses 2 different endoscopic methods to treat advanced megaesophagus in Chagas disease, pneumatic balloon dilatation (PBD), and peroral endoscopic myotomy (POEM).... Read more
    Mini-invasive Surg 2017;1:148-52. | doi:10.20517/2574-1225.2017.27
    Published on: 28 Dec 2017  | Viewed:1076  | Downloaded:80
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  • Non-conventional surgical approach to achalasia: mucosectomy and endomuscular pull-through

    Jose Luis Braga De Aquino , Marcelo Manzano Said , José Gonzaga Teixeira De Camargo
    Aim: Transhiatal esophagectomy is a therapeuthic option for the treatment of end-stage achalasia that avoids the complications of a thoracotomy. This technique; however, is still linked to some degree of morbimortality especially due to pleuromediastinal complications. Esophageal mucosectomy and endomuscular pull-through could avoid these complications.This study aims to evaluate the short and long-term outcomes of esophageal mucosectomy and endomuscular pull-through in a series of patients with advanced megaesophagus. Methods: We retrospectively studied 115 patients with end-stage... Read more
    Mini-invasive Surg 2017;1:167-72. | doi:10.20517/2574-1225.2017.29
    Published on: 28 Dec 2017  | Viewed:1181  | Downloaded:61
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  • Heller-Pinotti, a modified partial fundoplication associated with myotomy to treat achalasia: technical and final results from 445 patients

    Edno Tales Bianchi , Rubens Antonio Aissar Sallum , Sergio Szachnowicz , Francisco Carlos Bernal Costa Seguro , Andre Fonseca Duarte , Julio Rafael Mariano da Rocha , Ivan Cecconello
    Aim: The need for an antireflux procedure after myotomy is no longer as controversial as it used to be. However, the choice of the best fundoplication after myotomy is still controversial. The authors present the results of laparoscopic myotomies associated with postero-latero-anterior fundoplications (Heller-Pinotti). Methods: Medical records and endoscopic findings were reviewed for achalasia patients that had submitted to the procedure following 5 years of follow-up. Results: In total, 445 patients were enrolled: 39 (8.7%) presented erosive esophagitis, the Los Angeles classification... Read more
    Mini-invasive Surg 2017;1:153-9. | doi:10.20517/2574-1225.2017.41
    Published on: 28 Dec 2017  | Viewed:1871  | Downloaded:85
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  • One size fits all: laparoscopic Heller’s myotomy for the treatment of achalasia irrespective of the degree of dilatation

    Leonardo de Mello Del Grande , Fernando A. M. Herbella , Marco G. Patti , Francisco Schlottmann
    Laparoscopic Heller’s myotomy is the most common surgical procedure to treat achalasia. It is the most accepted therapy for non-advanced stages of the disease. In the setting of advanced disease with marked esophageal dilatation or sigmoid-shaped esophagus the ideal surgical procedure is debatable. Esophagectomy is believed by several authors to be the operation of choice in these cases. Others; however, opt for less invasive alternatives. Laparoscopic Heller’s myotomy has been shown to be a safe and resourceful alternative in end-stage achalasia as well. Read more
    Mini-invasive Surg 2017;1:121-5. | doi:10.20517/2574-1225.2017.23
    Published on: 30 Sep 2017  | Viewed:870  | Downloaded:59
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  • Differences between idiopathic and chagasic achalasia

    Roberto Oliveira Dantas
    Idiopathic and Chagas’ disease achalasia are characterized by absent or partial lower esophageal sphincter relaxation, absence of peristaltic esophageal contraction, food retenction in the esophagus and esophageal dilatation. The most frequent symptoms are dysphagia, regurgitation, heartburn, weight loss and non-cardiac chest pain. The diagnosis is made by radiologic examination and esophageal manometry, which is considered the most accurate exam to characterized achalasia. In both diseases there is destruction of the esophageal myenteric plexus. Despite similarities in clinical and... Read more
    Mini-invasive Surg 2017;1:117-20. | doi:10.20517/2574-1225.2017.25
    Published on: 30 Sep 2017  | Viewed:860  | Downloaded:71
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  • Achalasia management: the South American viewpoint

    Fernando A.M. Herbella , Leonardo M. Del Grande
    This seminar reflects the lessons learned by different Brazilian centers highly experienced in the treatment of Chagas disease esophagopathy. Different treatment options are discussed in the light of personal experiences emphasizing aspects not frequently adopted by North American and European surgeons Read more
    Mini-invasive Surg 2017;1:115-6. | doi:10.20517/2574-1225.2017.28
    Published on: 30 Sep 2017  | Viewed:843  | Downloaded:67
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