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Laparoscopic Treatment of Esophageal Achalasia

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ESPES Manual of Pediatric Minimally Invasive Surgery

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Abstract

Esophageal achalasia is a primary motility disorder that is thought to be due to a dysfunction of the enteric nervous system [1]. It is characterized by loss of ganglion cells with degeneration of inhibitory myenteric plexus that innervates the esophageal body and the region of the lower esophageal sphincter (LOS) of unknown origin. It is hypothesized that decreased nitric-oxide synthase leads to a neuronal excitatory/inhibitory imbalance with esophageal aperistalsis, incomplete LOS relaxation in response to swallowing, and increased LOS resting pressures.

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Authors and Affiliations

  1. Pediatric Surgery Unit, Departement of Paediatric Surgery, Buzzi Children’s Hospital, Milan, Italy

    Giovanna Riccipetitoni, Francesca Destro, Claudio Vella, Luciano Maestri & Tiziana Russo

Authors
  1. Giovanna Riccipetitoni
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  2. Francesca Destro
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  3. Claudio Vella
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  4. Luciano Maestri
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  5. Tiziana Russo
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Corresponding author

Correspondence to Giovanna Riccipetitoni .

Editor information

Editors and Affiliations

  1. Pediatric Surgery Unit, University of Naples Federico II, Naples, Italy

    Ciro Esposito

  2. Pediatric Surgery Unit, Centre Hospitalier Universitaire de Hautepierre, Strasbourg, France

    François Becmeur

  3. Pediatric Surgery Unit, Queen Fabiola Children’s University Hospital, Brussels, Belgium

    Henri Steyaert

  4. Pediatric Surgery Department, Luzerner Kantonsspital, Luzern, Switzerland

    Philipp Szavay

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Riccipetitoni, G., Destro, F., Vella, C., Maestri, L., Russo, T. (2019). Laparoscopic Treatment of Esophageal Achalasia. In: Esposito, C., Becmeur, F., Steyaert, H., Szavay, P. (eds) ESPES Manual of Pediatric Minimally Invasive Surgery . Springer, Cham. https://doi.org/10.1007/978-3-030-00964-9_23

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  • DOI: https://doi.org/10.1007/978-3-030-00964-9_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-00963-2

  • Online ISBN: 978-3-030-00964-9

  • eBook Packages: MedicineMedicine (R0)

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