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Laparoscopic long myotomy and Dor fundoplication guided by perioperative endoscopic ultrasound

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Abstract

An 80-year-old man with diffuse esophageal spasm underwent high-resolution manometry perioperatively and postoperatively. Integrated relaxation pressure was normal, and distal latency and peristaltic waves had disappeared. Endoscopic ultrasound (EUS) revealed esophageal muscle layer thickening to more than 1 cm in an area spanning the esophagogastric junction to the oral side. Laparoscopic long myotomy (LM) was performed followed by Dor fundoplication. The patient was discharged with a good postoperative course. Perioperative EUS-guided LM via the transhiatal approach was useful in this case.

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Authors and Affiliations

  1. Department of Digestive Surgery, Kawasaki Medical School, Matsushima, 577 Kurashiki, Okayama, 701-0192, Japan

    Daisuke Ueno, Hideo Matsumoto, Takaaki Ensako, Haruaki Murakami, Masaharu Higashida & Toshihiro Hirai

  2. Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School, Kurashiki, Japan

    Noriaki Manabe & Ken Haruma

  3. Department of Gastroenterology, Kawasaki Medical School, Kurashiki, Japan

    Rui Nakato & Akiko Shiotani

Authors
  1. Daisuke Ueno
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  2. Hideo Matsumoto
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  3. Noriaki Manabe
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  4. Takaaki Ensako
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  5. Haruaki Murakami
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  6. Masaharu Higashida
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  7. Rui Nakato
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  8. Akiko Shiotani
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  9. Ken Haruma
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  10. Toshihiro Hirai
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Corresponding author

Correspondence to Daisuke Ueno.

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Ethical Statement

All procedures followed were performed in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and the Helsinki Declaration of 1964 and later versions. Informed consent or a substitute was obtained from all patients for inclusion in the study.

Conflict of interest

The authors have no conflicts of interest to declare.

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Ueno, D., Matsumoto, H., Manabe, N. et al. Laparoscopic long myotomy and Dor fundoplication guided by perioperative endoscopic ultrasound. Esophagus 13, 391–394 (2016). https://doi.org/10.1007/s10388-016-0546-4

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  • DOI: https://doi.org/10.1007/s10388-016-0546-4

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