Heller’s Cardiomyotomy with Augmented Toupet’s Fundoplication Immediate and Long Term Outcome
Bandhuphat Chakrabandhu MD*, Sirikarn Yamada MD*, Thiraphat Chakrabandhu MD*
Affiliation : * Gastrointestinal Surgery Unit, Maharaj Nakorn Chiang Mai Hospital, Chiang Mai, Thailand
Background : Achalasia patients who underwent Heller cardiomyotomy with Toupet’s fundoplication have excellent results in
a previous report data. However, the result with open technique has not been reported in Thai.
Objective : To study the immediate and long-term outcome of open transabdominal Heller cardiomyotomy with Toupet’s
fundoplication in Achalasia patients.
Material and Method: Retrospective review of all achalasia patients who underwent open Heller cardiomyotomy with
Toupet’s fundoplication in Maharaj Nakorn Chiang Mai Hospital, Thailand during the past ten years (1997-2007). The data
was analysis with descriptive statistics.
Results : Twenty-two cases (11 male) were included in this study. Mean age was 40 years. The mean duration of symptoms
before surgery was 62.5 months. Ninety-one percent of patients were free from dysphagia immediately after operation. There
was no early postoperative complication. Three patients had relapse symptom (14%). Mean follow-up time in the present
study was 30 months.
Conclusion : Open transabdominal Heller’s cardiomyotomy with augmented Toupet’s fundoplication done by experienced
surgeons is an effective technique to treat achalasia patients in our center.
Keywords : Achalasia, Heller cardiomyotomy, Toupet fundoplication
