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myotomy造句
1 I had a laparoscopic myotomy a few years ago. 2 In patients undergoing elective myotomy the mortality rate is less than 1%. 3 Critical details of the operation include a generous myotomy of the lower esophagus, extending well onto the gastric wall. 4 Functional results after laparoscopic Heller myotomy for achalasia: A comparative study to open surgery. 5 The myotomy helped with the swallowing problems which was great. 6 I was a good candidate for the Heller Myotomy with fundoplication wrap because of my age, health, and active lifestyle. 7 About 90% of patients have long-term relief of dysphagia after a myotomy, with a low incidence of symptomatic acid reflux. 8 If a perforation occurs, emergency surgery is needed to close the perforation and to perform a myotomy. 9 A good response to BOTOX is usually an indication that the patient will have long-term relief following surgical myotomy. 10 These patients may require open surgery to close the perforation and perform a myotomy. 11 The need for esophagectomy for achalasia is very uncommon, even in the presence of a dilated esophagus, and should be reserved for failures after myotomy. 12 I am a 52 year old male and had a myotomy procedure performed 24 years ago. 13 Esophagectomy should be considered in a patient who has had a previous myotomy, with a resting LES pressure of less than 10 mmHg, and a dilated sigmoid esophagus. 14 In selected patients such as a hostile, multiply operated abdomen or following a failed abdominal myotomy,[www.] the thoracic or thoracoscopic approach may be preferred. 15 Percutaneous transluminal coronary angioplasty (PTCA), stenting, surgical resection of the bridge ( myotomy ), and coronary bypass surgery are only reserved for the rare patient with severe symptoms. 16 Up to 15% of patients may experience gastroesophageal reflux after myotomy, as measured by pH monitoring. 17 If this fails, a second operation (extending the previous myotomy onto the anterior gastric wall) can be attempted once the cause of failure has been identified with imaging studies. 18 This treatment can cause an inflammatory reaction at the level of the gastroesophageal junction, making a subsequent myotomy very difficult. 19 Esophagectomy was the standard treatment in patients with achalasia and a markedly dilated or sigmoid-shaped esophagus, with Heller myotomy considered to be ineffective in such cases. 20 In the only prospective, randomized trial performed comparing balloon dilation with surgery, myotomy outperformed balloon dilation 95% to 65%.