Operation for Motor Dysfunction of the Esophagus

摘要: Modern operative treatment of motor dysfunction the esophagus began in 1949 with recognition that anastomotic procedures bypass or destroy distal esophageal sphincter are associated development reflux esophagitis and stricture. Thirty years later, related to esophagomyotomy intrinsic disease remains dominant concern challenge. This review examines current status for management three important primary disorders motility: achalasia, diffuse spasm, scleroderma. Relief obstruction by reconstruction is common surgical goal. The addition a fundoplication procedure discourage controversial each disorder. Esophageal resection may become necessary when stricture persists fails provide lasting relief dysphagia.