{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:09:29Z","timestamp":1760954969296},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[1990,12,1]],"date-time":"1990-12-01T00:00:00Z","timestamp":660009600000},"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":[[1990,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Forty-eight patients with achalasia of the cardia were treated by Heller's myotomy with a posterior fundoplication of approximately 270\u00b0, suturing the gastric fundus to the edges of the myotomy. The mean(s.d.) postoperative follow-up period was 5\u00b74(2\u00b78) years. The clinical results were good to excellent in 44 cases (92 per cent) and fair in four cases (8 per cent) (two with residual dysphagia and two with gastro-oesophageal reflux). Barium studies showed a decrease in oesophageal diameter and disappearance of distal narrowing but normal oesophageal emptying did not occur. Postoperative manometric studies (29 patients) revealed a significant decrease in lower oesophageal sphincter pressure and a significant increase in the length of the infradiaphragmatic segment. In the oesophageal body a recovery of peristaltic waves in the proximal third was seen in ten of the patients (34 per cent). Twenty-four-hour pH monitoring showed pathological reflux in only three of 25 patients studied, and one of these was asymptomatic. This technique is effective, improving oesophageal symptoms and controlling long-term reflux.<\/jats:p>","DOI":"10.1002\/bjs.1800771217","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T13:52:09Z","timestamp":1172929929000},"page":"1371-1374","source":"Crossref","is-referenced-by-count":44,"title":["Achalasia of the cardia: Long-term results of oesophagomyotomy and posterior partial fundoplication"],"prefix":"10.1093","volume":"77","author":[{"given":"P Parrilla","family":"Paricio","sequence":"first","affiliation":[{"name":"Servicio de Cirugia General del Hospital Universitario Virgen de la Arrixaca , El Palmar (Murcia),","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L Mart\u00ednez","family":"de Haro","sequence":"additional","affiliation":[{"name":"Servicio de Cirugia General del Hospital Universitario Virgen de la Arrixaca , El Palmar (Murcia),","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Servicio de Cirugia General del Hospital Universitario Virgen de la Arrixaca , El Palmar (Murcia),","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J L","family":"Aguayo","sequence":"additional","affiliation":[{"name":"Servicio de Cirugia General del Hospital Universitario Virgen de la Arrixaca , El Palmar (Murcia),","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1990,12,1]]},"reference":[{"volume-title":"Achalasia of the Esophagus","year":"1969","author":"Ellis","key":"2024092807572936400_bib1"},{"key":"2024092807572936400_bib2","first-page":"469","article-title":"Late subjective and objective evaluation of the results of esophagomyotomy in 100 patients with achalasia of the esophagus","volume":"104","author":"Csendes","year":"1988","journal-title":"Surgerv"},{"key":"2024092807572936400_bib3","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/0002-9610(82)90124-6","article-title":"Effects of total fundoplication on function of the esophagus after myotomy for achalasia","volume":"143","author":"Duranceau","year":"1982","journal-title":"Am J Surg"},{"key":"2024092807572936400_bib4","first-page":"286","article-title":"Miotom\u00eda de Heller asociada a fundoplicatura parcial posterior como tratamiento de la achalasia de cardias. Valoraci\u00f3n cl\u00ednica y manorhetrica","volume":"XXXVIH4","author":"Martinez de Haro","year":"1983","journal-title":"Cirugia Espa\u00f1ola"},{"key":"2024092807572936400_bib5","first-page":"197","article-title":"Valoracion clinica y manom\u00e9trica de los resultados obtenidos con el tratamiento quirurgico de la achalasia tipica y vigorosa del cardias","volume":"XLI","author":"Parrilla","year":"1987","journal-title":"Cirugia Espahola"},{"key":"2024092807572936400_bib6","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1002\/bjs.1800760133","article-title":"Heller's myotomy with partial fundoplication","volume":"76","author":"Crookes","year":"1989","journal-title":"Br J Surg"},{"key":"2024092807572936400_bib7","first-page":"105","volume-title":"Achalasia of the Esophagus","author":"Carlson","year":"1969"},{"key":"2024092807572936400_bib8","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/0016-5085(80)90090-6","article-title":"Treatment of achalasia and related motor disorders","volume":"79","author":"Vantrappen","year":"1980","journal-title":"Gastroenterology"},{"key":"2024092807572936400_bib9","first-page":"325","article-title":"24-Hour monitoring of the distal esophagus (a quantitative measure of gastroesophageal reflux)","volume":"62","author":"Johnson","year":"1974","journal-title":"Am J Gastroenterol"},{"key":"2024092807572936400_bib10","first-page":"80","volume-title":"The Esophagus. 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