{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T09:48:52Z","timestamp":1761126532794,"version":"3.27.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[1976,12,1]],"date-time":"1976-12-01T00:00:00Z","timestamp":218246400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1976,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A survey of 108 patients with achalasia treated by cardiomyotomy is reported. All the operations were done by the abdominal approach and all the patients were followed up for a minimum of 4 years. Fifty-five patients had some form of hiatal reconstruction, I1 of these having a formal plastic repair as practised for oesophageal reflux problems.<\/jats:p>\n               <jats:p>At 4 years after operation 71 patients (65\u00b75 per cent) had entirely satisfactory results. Twenty-seven patients had recurrent dysphagia and 20 patients had symptoms of reflux oesophagitis. The group who had had a formal repair of the hiatus had no reflux symptoms after operation and also had better swallowing than the other groups.<\/jats:p>\n               <jats:p>These results suggest that much of the dysphagia following Heller's operation is due to occult gastro-oesophageal reflux and can be avoided by a reflux-preventing procedure.<\/jats:p>\n               <jats:p>Adequate hiatal repair after myotomy is strongly recommended.<\/jats:p>","DOI":"10.1002\/bjs.1800631215","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T12:46:08Z","timestamp":1172839568000},"page":"949-953","source":"Crossref","is-referenced-by-count":60,"title":["Results of Heller's operation for achalasia of the oesophagus. The importance of hiatal repair"],"prefix":"10.1093","volume":"63","author":[{"given":"J","family":"Black","sequence":"first","affiliation":[{"name":"Queen Elizabeth Hospital , Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A N","family":"Vorbach","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital , Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J Leigh","family":"Collis","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital , Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1976,12,1]]},"reference":[{"key":"2024101614160998300_bib1","first-page":"608","article-title":"Pulmonary complications of cardiospasm","volume":"151","author":"Andersen","year":"1953","journal-title":"JAMA"},{"key":"2024101614160998300_bib2","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1136\/bmj.1.5391.1135","article-title":"Achalasia Of the cardia: reflections upon a clinical study of over 100 cases","volume":"1","author":"Barrett","year":"1964","journal-title":"Br. Med. J."},{"key":"2024101614160998300_bib3","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1002\/bjs.18003714608","article-title":"Concerning the unfavourable late results of certain operations performed in the treatment of cardiospasm","volume":"37","author":"Barrett","year":"1949","journal-title":"Br. J. Surg."},{"key":"2024101614160998300_bib4","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1056\/NEJM196504012721307","article-title":"Rarity of hiatus hernia in achalasia","volume":"272","author":"Binder","year":"1965","journal-title":"New Engl. J. 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