{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T00:25:06Z","timestamp":1766276706871,"version":"3.37.3"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Langenbecks Arch Surg"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Primary achalasia is a rare oesophageal motor disorder characterized by the absence of swallow-induced relaxation of the lower oesophageal sphincter and diminished or absent oesophageal body peristalsis. Around 5% of these patients will develop end-stage achalasia, where oesophagectomy may be advocated. We present the laparoscopic hand-sewn cardioplasty as an alternative \u2018oesophagus-preserving\u2019 procedure in patients with end-stage achalasia.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We present a retrospective review of four patients who underwent laparoscopic hand-sewn cardioplasty. Data collected included pre-operative demographic information and investigations; and post-operative outcomes. Patients were scored pre- and post-operatively using Reflux Symptom Index, Eating Assessment Tool-10 and Voice Handicap Index-10 questionnaires.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Four patients underwent laparoscopic hand-sewn cardioplasty during the study period. In one patient, it was performed as a rescue procedure during attempted myotomy following multiple perforations of friable mucosa. In the other three patients, laparoscopic hand-sewn cardioplasty was performed for end-stage achalasia. None of the patients had post-operative complications and all patients were discharged on the second post-operative day. All patients experienced improvement in swallowing symptoms (EAT-10; <jats:italic>p<\/jats:italic>\u2009=\u20090.03) but developed post-operative gastroesophageal reflux.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>To our knowledge, this is the first published case series of laparoscopic hand-sewn cardioplasty for end-stage achalasia. It appears to be a safe and effective procedure for the treatment of end-stage achalasia, offering an alternative minimally invasive procedure to oesophagectomy. Laparoscopic hand-sewn cardioplasty can also be used as a \u2018rescue\u2019 procedure during myotomy in patients who have poor-quality mucosa which perforates intra-operatively or is at high risk of perforation\/leaking post-operatively.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00423-021-02117-9","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T14:03:47Z","timestamp":1616594627000},"page":"1675-1682","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Laparoscopic hand-sewn cardioplasty: an alternative procedure for end-stage achalasia"],"prefix":"10.1007","volume":"406","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7111-4396","authenticated-orcid":false,"given":"F\u00e1tima","family":"Senra","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1939-0825","authenticated-orcid":false,"given":"Lalin","family":"Navaratne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asunci\u00f3n","family":"Acosta-M\u00e9rida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart","family":"Gould","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6160-7047","authenticated-orcid":false,"given":"Alberto","family":"Mart\u00ednez-Isla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,3,24]]},"reference":[{"issue":"2","key":"2117_CR1","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1007\/s10353-004-0076-5","volume":"36","author":"EP Cosentini","year":"2004","unstructured":"Cosentini EP, Riegler M, Koperek O, Wenzl E (2004) Transgastric Stapled esophagofundostomy (TSE) and partial fundoplication \u2013 a technical illustration of a new concept for surgical treatment of achalasia. Eur Surg 36(2):89\u201394","journal-title":"Eur Surg"},{"issue":"9","key":"2117_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/dote\/doy071","volume":"31","author":"G Zaninotto","year":"2018","unstructured":"Zaninotto G, Bennett C, Boeckxstaens G et al (2018) The 2018 ISDE Achalasia guidelines. Dis Esophagus 31(9):1\u201329","journal-title":"Dis Esophagus"},{"issue":"7","key":"2117_CR3","doi-asserted-by":"publisher","first-page":"558","DOI":"10.1111\/j.1445-2197.2006.03784.x","volume":"76","author":"JR Bessell","year":"2006","unstructured":"Bessell JR, Lally CJ, Schloithe A, Jamieson GG, Devitt PG, Watson DI (2006) Laparoscopic cardiomyotomy for achalasia: long-term outcomes. ANZ J Surg 76(7):558\u2013562","journal-title":"ANZ J Surg"},{"issue":"5","key":"2117_CR4","doi-asserted-by":"publisher","first-page":"1469","DOI":"10.1007\/s00268-017-4298-7","volume":"42","author":"A Aiolfi","year":"2018","unstructured":"Aiolfi A, Asti E, Bonitta G, Bonavina L (2018) Esophagectomy for end-stage achalasia: systematic review and meta-analysis. World J Surg 42(5):1469\u20131476","journal-title":"World J Surg"},{"issue":"3","key":"2117_CR5","doi-asserted-by":"publisher","first-page":"854","DOI":"10.1016\/S0003-4975(01)02890-9","volume":"72","author":"EJ Devaney","year":"2001","unstructured":"Devaney EJ, Iannettoni MD, Orringer MB, Marshall B (2001) Esophagectomy for achalasia: patient selection and clinical experience. Ann Thorac Surg 72(3):854\u2013858","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"2117_CR6","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1016\/S0892-1997(02)00097-8","volume":"16","author":"PC Belafsky","year":"2002","unstructured":"Belafsky PC, Postma GN, Koufman JA (2002) Validity and reliability of the reflux symptom index (RSI). J Voice 16(2):274\u2013277","journal-title":"J Voice"},{"issue":"12","key":"2117_CR7","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1177\/000348940811701210","volume":"117","author":"PC Belafsky","year":"2008","unstructured":"Belafsky PC, Mouadeb DA, Rees CJ et al (2008) Validity and reliability of the Eating Assessment Tool (EAT-10). Ann Otol Rhinol Laryngol 117(12):919\u2013924","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"9","key":"2117_CR8","doi-asserted-by":"publisher","first-page":"1549","DOI":"10.1097\/00005537-200409000-00009","volume":"114","author":"CA Rosen","year":"2004","unstructured":"Rosen CA, Lee AS, Osborne J, Zullo T, Murry T (2004) Development and validation of the voice handicap index-10. Laryngoscope 114(9):1549\u20131556","journal-title":"Laryngoscope"},{"key":"2117_CR9","doi-asserted-by":"publisher","first-page":"1732","DOI":"10.1016\/0016-5085(92)91428-7","volume":"103","author":"VF Eckardt","year":"1992","unstructured":"Eckardt VF, Aignherr C, Bernhard G (1992) Predictors of outcome in patients with achalasia treated by pneumatic dilation. Gastroenterology 103:1732\u20131738","journal-title":"Gastroenterology"},{"issue":"5","key":"2117_CR10","doi-asserted-by":"publisher","first-page":"997","DOI":"10.1007\/s11605-012-2111-3","volume":"17","author":"EA Griffiths","year":"2013","unstructured":"Griffiths EA, Devitt PG, Jamieson GG, Myers JC, Thompson SK (2013) Laparoscopic stapled cardioplasty for end-stage achalasia. J Gastrointest Surg 17(5):997\u20131001","journal-title":"J Gastrointest Surg"},{"issue":"11","key":"2117_CR11","doi-asserted-by":"publisher","first-page":"1078","DOI":"10.1007\/s00595-012-0204-y","volume":"42","author":"N Omura","year":"2012","unstructured":"Omura N, Kashiwagi H, Yano F, Tsuboi K, Yanaga K (2012) Reoperations for esophageal achalasia. Surg Today 42(11):1078\u20131081","journal-title":"Surg Today"},{"issue":"9","key":"2117_CR12","doi-asserted-by":"publisher","first-page":"1242","DOI":"10.1002\/bjs.8816","volume":"99","author":"TCB Dehn","year":"2012","unstructured":"Dehn TCB, Slater M, Trudgill NJ, Safranek PM, Booth MI (2012) Laparoscopic stapled cardioplasty for failed treatment of achalasia. Br J Surg 99(9):1242\u20131245","journal-title":"Br J Surg"},{"issue":"8","key":"2117_CR13","doi-asserted-by":"publisher","first-page":"995","DOI":"10.1002\/bjs.4555","volume":"91","author":"A Caporale","year":"2004","unstructured":"Caporale A, Cosenza UM, Galati G, Fiori E, Benvenuto E, Giuliani A (2004) Oesophagocardioplasty for residual dysphagia following multiple pneumatic dilatations for achalasia. Br J Surg 91(8):995\u2013996","journal-title":"Br J Surg"},{"issue":"6","key":"2117_CR14","doi-asserted-by":"publisher","first-page":"876","DOI":"10.1016\/0003-4975(89)90695-4","volume":"48","author":"WS Payne","year":"1989","unstructured":"Payne WS (1989) Heller\u2019s contribution to the surgical treatment of achalasia of the esophagus. Ann Thorac Surg 48(6):876\u2013881","journal-title":"Ann Thorac Surg"},{"key":"2117_CR15","first-page":"617","volume":"134","author":"T Hatafuku","year":"1972","unstructured":"Hatafuku T, Maki T, Thal AP (1972) Fundic patch operation in the treatment of advanced achalasia of the esophagus. Surg Gynecol Obstet 134:617\u2013624","journal-title":"Surg Gynecol Obstet"},{"issue":"1","key":"2117_CR16","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1007\/s10353-004-0117-0","volume":"37","author":"EP Cosentini","year":"2005","unstructured":"Cosentini EP (2005) Oesophagocardioplasty for residual dysphagia following multiple pneumatic dilatations for achalasia. Eur Surg Acta Chir Austriaca 37(1):63\u201364","journal-title":"Eur Surg Acta Chir Austriaca"},{"issue":"5","key":"2117_CR17","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1016\/S1072-7515(01)01051-1","volume":"193","author":"AA Ferraz","year":"2001","unstructured":"Ferraz AA, da N\u00f3brega J\u00fanior BG, Mathias CA, Bacelar TS, Lima FE, Ferraz EM (2001) Late results on the surgical treatment of Chagasic megaesophagus with the Thal-Hatafuku procedure. J Am Coll Surg 193(5):493\u2013498","journal-title":"J Am Coll Surg"},{"key":"2117_CR18","doi-asserted-by":"publisher","first-page":"826","DOI":"10.1001\/jama.1964.03060350052018","volume":"188","author":"AP Thal","year":"1964","unstructured":"Thal AP, Hatafuku T (1964) Improved operation for esophageal rupture. JAMA 188:826","journal-title":"JAMA"},{"issue":"4","key":"2117_CR19","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1111\/j.1442-2050.2011.01207.x","volume":"25","author":"G Triadafilopoulos","year":"2012","unstructured":"Triadafilopoulos G, Boeckxstaens GE, Gullo R et al (2012) The Kagoshima consensus on esophageal achalasia. Dis Esophagus 25(4):337\u2013348","journal-title":"Dis Esophagus"},{"issue":"6","key":"2117_CR20","doi-asserted-by":"publisher","first-page":"2235","DOI":"10.1016\/j.athoracsur.2006.07.013","volume":"83","author":"G Del Genio","year":"2007","unstructured":"Del Genio G, del Genio A, Brusciano L, Russo G, Pizza F, del Genio F, Rossetti G (2007) Laparoscopic cardioplasty to avoid esophageal resection in patient not responsive to Heller myotomy. Ann Thorac Surg 83(6):2235\u20132238","journal-title":"Ann Thorac Surg"},{"key":"2117_CR21","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1097\/00000658-198911000-00009","volume":"210","author":"VW Fazio","year":"1989","unstructured":"Fazio VW, Galandiuk S, Jagelman DG, Lavery IC (1989) Strictureplasty in Crohn\u2019s disease. Ann Surg 210:621\u2013625","journal-title":"Ann Surg"},{"doi-asserted-by":"crossref","unstructured":"Ponciano H, Cecconello I, Alves L, Derreira BD, Gama-Rodrigues J (2004) Cardioplasty and Roux-en-Y partial gastrectomy (Serr\u00e1-Doria procedure) for reoperation of achalasia. Arq Gastroenterol 41 (3)","key":"2117_CR22","DOI":"10.1590\/S0004-28032004000300004"},{"doi-asserted-by":"crossref","unstructured":"Barrett NR, Franklin RH (1949) Concerning the unfavourable late results of certain operations performed in the treatment of cardiospasm. Br J Surg 37(146)","key":"2117_CR23","DOI":"10.1002\/bjs.18003714608"},{"issue":"1","key":"2117_CR24","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1093\/dote\/11.1.58","volume":"11","author":"I Braghetto","year":"1998","unstructured":"Braghetto I, Korn O, Csendes A, Frias JC (1998) Esophagocardioplasty, vagotomy-antrectomy and Roux-en-Y gastrojejunostomy: indication in cases with severe esophageal motor disfunction. Dis Esophagus 11(1):58\u201361","journal-title":"Dis Esophagus"},{"issue":"5","key":"2117_CR25","doi-asserted-by":"publisher","first-page":"1078","DOI":"10.1007\/s11605-016-3095-1","volume":"20","author":"PW Hamer","year":"2016","unstructured":"Hamer PW, Griffiths EA, Devitt PG, Watson DI, Thompson SK (2016) Laparoscopic stapled cardioplasty-room for improvement. J Gastrointest Surg 20(5):1078\u20131079","journal-title":"J Gastrointest Surg"},{"issue":"3","key":"2117_CR26","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1111\/j.1442-2050.2009.01021.x","volume":"23","author":"I Braghetto","year":"2010","unstructured":"Braghetto I, Korn O, Cardemil G, Coddou E, Valladares H, Henriquez A (2010) Inversed Y cardioplasty plus a truncal vagotomy-antrectomy and a Roux-en-Y gastrojejunostomy performed in patients with stricture of the esophagogastric junction after a failed cardiomyotomy or endoscopic procedure in patients with achalasia of the esophagus. Dis Esophagus 23(3):208\u2013215","journal-title":"Dis Esophagus"}],"container-title":["Langenbeck's Archives of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-021-02117-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00423-021-02117-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-021-02117-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T04:42:04Z","timestamp":1629261724000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00423-021-02117-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,24]]},"references-count":26,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["2117"],"URL":"https:\/\/doi.org\/10.1007\/s00423-021-02117-9","relation":{},"ISSN":["1435-2443","1435-2451"],"issn-type":[{"type":"print","value":"1435-2443"},{"type":"electronic","value":"1435-2451"}],"subject":[],"published":{"date-parts":[[2021,3,24]]},"assertion":[{"value":"26 October 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 March 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"None.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Permissions"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}