Minimally invasive surgery for esophageal achalasia

Table 1 Pooled response rate of achalasia treatments[7]

Therapy	n	Weighted responserate (%)	Weightedfollow-up (yr)
Botulinum toxin	149	32	1.1
Pneumatic dilation	1276	72	4.9
Heller myotomy
Thoracotomy	1221	84	5
Laparotomy	732	85	7.6
Laparoscopy	171	92	1.2

Table 2 Twenty-four h pH data of patients submitted to Heller myotomy and Heller myotomy plus Dor fundoplication in a randomized study[24]

Parameter	Heller (n = 18)	Heller-Dor (n = 21)	P value
Time (%) pH < 4 upright	8.1 + 10.4	0.8 + 1.1	0.015
Time (%) pH < 4 supine	9.1 + 18.3	2.0 + 6.9	0.002
No. episodes pH < 4	113 + 128	25 + 6.9	0.001
No. episodes pH < 4 for ≤ 5 min	3.4 + 4.7	0.5 + 1.6	0.001