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KMID : 0371319730150040049
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Journal of the Korean Surgical Society
1973 Volume.15 No. 4 p.49 ~ p.54
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Esophageal Achalasia
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金安彦/Kim, A.E.
金煥權/朴光勳/鄭鎭澤/Kim, H.K./Park, K.H./Chung, J.T.
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Abstract
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This paper presents two cases of esophageal achalasia treated with only modified Heller´s myotomy through transthoracic approaches.
Esophageal achalasia is a disease of unknown etiology characterized by absence of peristalsis in the body of the esophagus and failure of the inferior esophageal sphinter to relax in response to swallowing.
The most common and constant clinical symptom was dy sphagia, regurgitation and substernal pain. The duration of the above clinical symptom was about 7 months and a year. It was first described in 1674 by Thomas Willis.
In 1926, Rake first demonstrated degeneration and in number of the ganglion cell of Auerbach´s Plexus
In 1913, Heller employed esophagomyotomy with two longitudinal incision of the anterior and posterior wall of the esophagus.
This method has been modified by Zaaiier.
The Heller modified procedure is the treatment of choice on achalasia.
In the thoracic surgical department of the Masan army hospital, two cases of the more advanced achalasia was treated c modified transthoracic Heller´s technique.
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