Introduction Achalasia of Cardia of is rare motility disorder characterised by inadequate oesophageal peristaltic activity combined with a non-relaxing lower oesophageal sphincter. Non-surgical therapy help to palliate symptoms in the early stages but cardiomytomy achieves a better outcome in advanced achalasia.
Method A prospective data base of all patients surgically treated for achalasia is electronically maintained including the chief symptomatology, pre-operative investigations, treatment and outcomes. Statistical analysis was conducted using STATA 13.1 software.
Results 17 patients underwent laparoscopic cardiomyotomy with addition of antireflux procedure in 12 patients. Pre-operative investigations showed sigmoid type morphology on barium swallow in 15 patients and rest were non-sigmoid type. Pearson Chi square test of measure of association between S1 and S2 morphology and symptomatology such as regurgitation, nausea/vomiting, weight loss and haematemesis showed significant association between S1 type morphology and regurgitation, heartburn and weight loss (p = 0.0001). Addition of anti-reflux procedure to cardiomyotomy improved the symptomatic outcome significantly.
Conclusion Our interim results suggest that the addition of anti-reflux procedure to cardiomyotomy enhance the symptomatic surgical outcome.
Disclosure of interest None Declared.