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dc.contributor.CRUESPUniversidade Estadual de Campinaspt_BR
dc.typeArtigo de periódicopt_BR
dc.titleResults of the surgical treatment of non-advanced megaesophagus using Heller-Pinotti's surgery: Laparotomy vs. Laparoscopypt_BR
dc.contributor.authorLopes, LRpt_BR
dc.contributor.authorBraga, NDpt_BR
dc.contributor.authorde Oliveira, GCpt_BR
dc.contributor.authorNeto, JDCpt_BR
dc.contributor.authorCamargo, MApt_BR
dc.contributor.authorAndreollo, NApt_BR
unicamp.author.emaillopeslr@fcm.unicamp.brpt_BR
unicamp.authorLopes, Luiz Roberto Braga, Nathalia da Silva de Oliveira, Gustavo Carvalho Coelho Neto, Joao de Souza Camargo, Marcelo Amade Andreollo, Nelson Adami Univ Estadual Campinas, Dept Surg, Sao Paulo, Brazilpt_BR
dc.subjectAchalasiapt_BR
dc.subjectLaparoscopypt_BR
dc.subjectLaparotomypt_BR
dc.subjectCardiomyotomypt_BR
dc.subjectDysphagiapt_BR
dc.subject.wosQuality-of-lifept_BR
dc.subject.wosEsophageal Achalasiapt_BR
dc.subject.wosAntireflux Procedurept_BR
dc.subject.wosChagas-diseasept_BR
dc.subject.wosFollow-uppt_BR
dc.subject.wosMyotomypt_BR
dc.subject.wosFundoplicationpt_BR
dc.subject.wosCardiomyotomypt_BR
dc.subject.wosEsophagomyotomypt_BR
dc.description.abstractINTRODUCTION: Dysphagia is the important symptom in achalasia, and surgery is the most common treatment. The Heller-Pinotti technique is the method preferred by Brazilian surgeons. For many years, this technique was performed by laparotomy, and now the laparoscopic method has been introduced. The objective was to evaluate the immediate and long-term results of patients submitted to surgery by either laparotomy or laparoscopy. MATERIALS AND METHODS: A total of 67 patients submitted to surgery between 1994 and 2001 with at least 5 years of follow-up were evaluated retrospectively and divided into two groups: laparotomy (41 patients) and laparoscopy (26 patients). Chagas was the etiology in 76.12% of cases. Dysphagia was evaluated according to the classification defined by Saeed et al. RESULTS: There were no cases of conversion to open surgery. The mean duration of hospitalization was 3.32 days for laparotomy and 2.54 days for laparoscopy (p < 0.05). An improvement in dysphagia occurred with both groups reporting good or excellent results (laparotomy: 73.17% and laparoscopy: 73.08%). Mean duration of follow-up was 8 years. CONCLUSIONS: There was no difference between the two groups with respect to relief from dysphagia, thereby confirming the safety and effectiveness of the Heller-Pinotti technique, which can be performed by laparotomy or laparoscopy, depending on the surgeon's experience.pt
dc.relation.ispartofClinicspt_BR
dc.relation.ispartofabbreviationClinicspt_BR
dc.publisher.citySao Paulopt_BR
dc.publisher.countryBrasilpt_BR
dc.publisherHospital Clinicas, Univ Sao Paulopt_BR
dc.date.issued2011pt_BR
dc.identifier.citationClinics. Hospital Clinicas, Univ Sao Paulo, v. 66, n. 1, n. 41, n. 46, 2011.pt_BR
dc.language.isoenpt_BR
dc.description.volume66pt_BR
dc.description.issuenumber1pt_BR
dc.description.firstpage41pt_BR
dc.description.lastpage46pt_BR
dc.rightsabertopt_BR
dc.sourceWeb of Sciencept_BR
unicamp.cruespUSPpt_BR
dc.identifier.issn1807-5932pt_BR
dc.identifier.wosidWOS:000288712700008pt_BR
dc.identifier.doi10.1590/S1807-59322011000100008pt_BR
dc.date.available2014-07-30T18:27:08Z
dc.date.available2015-11-26T16:53:11Z-
dc.date.accessioned2014-07-30T18:27:08Z
dc.date.accessioned2015-11-26T16:53:11Z-
dc.description.provenanceMade available in DSpace on 2014-07-30T18:27:08Z (GMT). No. of bitstreams: 0 Previous issue date: 2011en
dc.description.provenanceMade available in DSpace on 2015-11-26T16:53:11Z (GMT). No. of bitstreams: 2 WOS000288712700008.pdf: 355697 bytes, checksum: 92c34919caa7d4ceb7e6af9351bd819e (MD5) WOS000288712700008.pdf.txt: 31416 bytes, checksum: 85d82b9b7f2bab23fddcb1dd6d97c8de (MD5) Previous issue date: 2011en
dc.identifier.urihttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/71077
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/71077-
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