This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (32)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Donald L. Patrick, MD; W. Spencer Payne, MD; Arthur M. Olsen, MD; F. Henry Ellis, Jr, MD

AMA Arch Surg. 1971;103(2):122-128.

Abstract
Twenty-one patients underwent reoperation for achalasia after various unsuccessful surgical procedures designed to relieve chronic esophageal symptoms. The chief cause for their continued disability was either persistent obstructive achalasia or incompetence of the cardia with esophagitis and stricture. Continued esophageal obstruction with persistent achalasia was caused chiefly by complete or partial healing of a previous improperly performed esophagomyotomy. The performance of a new myotomy at reoperation usually effected a satisfactory result. Incompetence of the cardia followed previous operations which totally destroyed or bypassed the distal esophageal sphincter. At reoperation, the resultant lower esophageal stricture required resection for relief.

Author Affiliations
Rochester, Minn

From the Mayo Graduate School of Medicine (University of Minnesota), Rochester (Dr. Patrick); and the Division of Thoracic Diseases and Internal Medicine (Dr. Olsen) and Section of Thoracic, Cardiovascular, and General Surgery (Drs. Payne and Ellis), Mayo Clinic and Mayo Foundation, Rochester, Minn.

Footnotes
Accepted for publication March 17, 1971.

Read before the 28th annual meeting of the Central Surgical Association, Minneapolis, March 4, 1971.

Reprint requests to Mayo Clinic, Rochester, Minn 55901.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Short-segment colon interposition for end-stage achalasia
Hsu et al.
Ann. Thorac. Surg. 2003;76:1706-1710.
ABSTRACT | FULL TEXT  

Onset Timing of Delayed Complications and Criteria of Follow-up After Operation for Esophageal Achalasia
Di Simone et al.
Ann. Thorac. Surg. 1996;61:1106-1110.
ABSTRACT | FULL TEXT  

Esophageal Resection for Recurrent Achalasia
Miller et al.
Ann. Thorac. Surg. 1995;60:922-925.
ABSTRACT | FULL TEXT