Laparoscopic myotomy or pneumatic dilatation for achalasia treatment?

Background: The aim of this study was to compare the long-term results between laparoscopic myotomy and pneumatic dilatation in achalasia treatment.Method: A retrospective study was conducted involving 46 achalasia patients.Twenty-three patients underwent laparoscopic Heller myotomy with partial (Toupet) fundoplication (I group), other 23 -endoscopic pneumatic dilatation (II group).Long-term results included evaluation of dysphagia according Vantrappen and Hellemans and intensity of heartburn.Results: The patients in these two groups were similar in terms of age, weight and height.The median follow up was 44 months in I group, 47 months in II group.Laparoscopic myotomy was effective in 82.6% of patients (excellent and good results), while pneumatic dilatation was effective in 52.2% of patients (p<0.05).39% of patients had postoperative heartburn in I group and 43% in II group.Conclusions: According our study results, laparoscopic Heller myotomy was more effective than endoscopic pneumatic dilatation in achalasia treatment.Heartburn is a common complaint after these two procedures.

Abstract licence: CC BY-NC-ND

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