Surgical management of the esophageal achalasia in the IPS Central Hospital from january 2016 to december 2018

Abstract

Objective: To describe the experience of the surgical management of esophageal achalasia in the General Surgery Service of the IPS Central Hospital during the period January 2016-December 2018. Material and Methods: Retrospective cross-sectional descriptive study of 26 operative files of patients with diagnosis of achalasia who required surgical intervention in our service in the period January 2016- December 2018. Results: It was observed that the most used surgical method was predominantly laparoscopic, with Heller-dor's technique being the procedure of choice. There was only one postoperative complication: the esophageal fistula. The mortality of the series in this period associated with surgical intervention was nil. Discussion: The surgical treatment meets the objectives of achieving relief of dysphagia, with a significant improvement in swallowing, normalize the nutritional condition and improve the patient's quality of life. Laparoscopic surgery achieves results comparable to conventional surgery and adds the advantages of minimally invasive procedures. Conclusion: Heller myotomy modified by partial fundoplication laparoscopy is the preferred technique for the management of achalasia, with which it is possible to obtain adequate control of symptoms and long-term satisfaction in acceptable ranges.