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J Thorac Cardiovasc Surg 2006;132:216-217
© 2006 The American Association for Thoracic Surgery

Letter to the Editor

Dor fundoplication after myotomy for achalasia: Useful, unnecessary, or harmful?

Venanzio Porziella, MD a , Alfredo Cesario, MD a , b , Pierluigi Granone, MD a

a Division of General Thoracic Surgery, Catholic University, Rome, Italy
b Pulmonary Rehabilitation, IRCCS San Raffaele, Rome, Italy

The first 20% of the full text of this article appears below.

To the Editor:

We appreciated the interesting and accurate article from Rice and colleagues 1 Go that was recently published in the Journal. In this report, the authors emphasized the fact that addition of a Dor-type fundoplication procedure to a Heller myotomy increases both resting and residual lower esophageal sphincter (LES) pressure, reducing the adequacy of myotomy itself. Our group has established experience with this issue. We reported that the basal LES pressure, measured by intraoperative manometry, was . . . [Full Text of this Article]


Related Article

Reply to the Editor
Thomas W. Rice and Eugene H. Blackstone
J. Thorac. Cardiovasc. Surg. 2006 132: 217. [Extract] [Full Text] [PDF]





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