All issues > Volume 32(1); 1989

Original Article

J Korean Pediatr Soc. 1989;32(1):101-108. Published online January 31, 1989.

Manometric Response to Heller's Myotomy in Achalasia.

Chun Wha Lee¹, Kyung Mo Kim¹, Jeong Kee Seo¹, Hyung Ro Moon¹, Joo Hyun Kim²

¹Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
²Department of Thoracic Surgery , College of Medicine, Seoul National University, Seoul, Korea

Received: February 10, 1988;  Accepted: May 20, 1988.

Abstract

Achalasia is an espohageal motility disorder. It is characterized by the loss LES relaxation on swallowing and of esophageal peristalsis and results in dysphagia, regurgitation and substernal pain. Manometry is one of several diagnostic tests of achalasia and reveals 1) Complete absence of esophageal peristalsis, 2) hypertension of LES. 3) impaired sphincter relaxation on swallowing and 4) positive esophageal body pressure compared to intragastric pressure. We performed manometry pre-& postoperatively in 2 cases of achalasia on wihch modified Heller' s myotomy was applied and we found improved manometric findings in accordance with clinical lmprovement.

Keywords :Achalasia, Manometry