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Laparoscopic Heller Myotomy with Anterior Fundoplication Ameliorates Symptoms of Achalasia in Pediatric Patients  Charles Paidas, MD, MBA, FACS, Sarah.

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Presentation on theme: "Laparoscopic Heller Myotomy with Anterior Fundoplication Ameliorates Symptoms of Achalasia in Pediatric Patients  Charles Paidas, MD, MBA, FACS, Sarah."— Presentation transcript:

1 Laparoscopic Heller Myotomy with Anterior Fundoplication Ameliorates Symptoms of Achalasia in Pediatric Patients  Charles Paidas, MD, MBA, FACS, Sarah M. Cowgill, MD, Robert Boyle, Sam Al-Saadi, MD, MS, Desiree Villadolid, MPH, Alexander S. Rosemurgy, MD, FACS  Journal of the American College of Surgeons  Volume 204, Issue 5, Pages (May 2007) DOI: /j.jamcollsurg Copyright © 2007 American College of Surgeons Terms and Conditions

2 Figure 1 Based on a Likert scale questionnaire, “frequency” of symptoms before myotomy were similar between adults and pediatric patients. After the procedure, frequency decreased for all symptoms except heartburn in pediatric patients. Chest pain frequency appears to be reduced to a greater degree in adult patients. *p < 0.05 before versus after myotomy, Wilcoxon matched-pair test; †p < 0.05, pediatric versus adult, Mann-Whitney U test. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2007 American College of Surgeons Terms and Conditions

3 Figure 2 Based on a Likert scale questionnaire, “severity” of symptoms before myotomy were similar between adults and pediatric patients. After the procedure, severity decreased for all symptoms except heartburn in pediatric patients. * p < 0.05 before versus after myotomy, Wilcoxon matched-pair test; † p < 0.05, pediatric versus adult, Mann-Whitney U test. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2007 American College of Surgeons Terms and Conditions

4 Figure 3 At a median of 37 months after myotomy with fundoplication, pediatric and adult patients had comparable resolution of symptoms. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2007 American College of Surgeons Terms and Conditions

5 Figure 4 All 14 pediatric patients stated they would repeat the myotomy; 88% of adults would repeat the myotomy. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2007 American College of Surgeons Terms and Conditions


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