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dc.contributor.authorPereira, Pedro Funaript_BR
dc.contributor.authorRosa, Andre Ricardo Pereira dapt_BR
dc.contributor.authorMesquita, Leonardo de Andradept_BR
dc.contributor.authorAnzolch, Marcelle Jaegerpt_BR
dc.contributor.authorBranchi, Rafael Nicolapt_BR
dc.contributor.authorGiongo, Augusto Luizpt_BR
dc.contributor.authorPaixão, Francisco Costapt_BR
dc.contributor.authorChedid, Márcio Fernandespt_BR
dc.contributor.authorKruel, Cleber Dario Pintopt_BR
dc.date.accessioned2020-12-23T04:12:24Zpt_BR
dc.date.issued2019pt_BR
dc.identifier.issn1948-9366pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/216780pt_BR
dc.description.abstractBACKGROUND Esophagogastric junction outflow obstruction (EGJOO) is a rare syndrome, characterized by an elevation of the integrated relaxation pressure of the lower esophageal sphincter, not accompanied by alterations in esophageal motility that may lead to the criteria for achalasia. We were unable to find any prior report of the combination of Heller myotomy with anterior partial fundoplication (Dor) as the treatment for EGJOO. We herein report a case of EGJOO treated with laparoscopic Heller myotomy combined with Dor fundoplication. CASE SUMMARY A 26-year-old man presented with a 3-year history of solid dysphagia and a 30-kg weight loss. He was treated with oral nifedipine, isosorbide, and omeprazole, without resolution of symptoms. An upper gastrointestinal series (barium swallow) revealed a “bird’s beak” sign. Esophagogastroduodenoscopy was positive for Los Angeles grade A peptic esophagitis. High-resolution esophageal manometry was compatible with EGJOO. Esophageal pH monitoring showed pathological acid reflux both in orthostatic and decubitus position. An 8-cm laparoscopic Heller myotomy combined with an anterior 220° Dor fundoplication was performed. Solid diet was introduced on postoperative day 2, and the patient was discharged home the same day. At 17-mo follow-up, he reported no symptoms. Barium swallow was compatible with complete radiologic resolution. Both esophageal manometry and upper endoscopy showed normal findings 9 mo after the operation. CONCLUSION Surgical treatment with Heller myotomy and Dor fundoplication is a potential treatment option for EGJOO refractory to medical treatment.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofWorld journal of gastrointestinal surgery. Beijing. Vol. 11, no. 2 (Feb. 2019), p. 112-116pt_BR
dc.rightsOpen Accessen
dc.subjectMiotomia de Hellerpt_BR
dc.subjectEsophagogastric junction outflow obstructionen
dc.subjectHeller myotomyen
dc.subjectJunção esofagogástricapt_BR
dc.subjectRelatos de casospt_BR
dc.subjectPartial fundoplicationen
dc.subjectDor fundoplicationen
dc.subjectCase reporten
dc.titleEsophagogastric junction outflow obstruction successfully treated with laparoscopic Heller myotomy and Dor fundoplication : first case report in the literaturept_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001119894pt_BR
dc.type.originEstrangeiropt_BR


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