{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:02:55Z","timestamp":1777921375492,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Heller myotomy and laparoscopic fundoplication represents the best treatment option for esophageal achalasia, with effective short- and long-term success. However, treatment options in patients in whom primary surgery failed represent a real challenge. We present the resection of the gastroesophageal junction (GEJ) along with a Roux-en-Y reconstruction as a treatment alternative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We analyzed the course of 5 patients with achalasia undergoing the resection of the GEJ along with a Roux-en-Y reconstruction for recurrent dysphagia after Heller myotomy and fundoplication, with at least 1 year of follow-up. Symptoms questionnaire and minuted esophagogram before and after treatment were performed in all the patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Five patients underwent resection of the GEJ along with a Roux-en-Y reconstruction. All the patients had dysphagia and 60% had regurgitations. Eighty percent of the patients had more than one previous redo surgery and 100% had had multiple dilations. Preoperative contrast esophagram of 3 patients show Stage II disease (mild and mark dilated esophagus) and 2 patients with Stage III disease (one esophageal curve and severe dilation). Manometry confirmed the diagnosis. At a mean follow-up of 34 months, all the patients reported a marked improvement in dysphagia, with median overall satisfaction rating of 9 (range 7\u201310), no symptom of gastroesophageal reflux disease (GERD), and good esophageal emptying in the postoperative contrast esophagram.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The resection of the GEJ and Roux-en-Y reconstruction is an excellent treatment for recurrent dysphagia after Heller myotomy. All the patients reported a marked improvement of their dysphagia. No symptoms of GERD were documented after the surgery. This procedure should be taken into account as an alternative to esophagectomy for recurrent dysphagia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2019.0300","type":"journal-article","created":{"date-parts":[[2019,6,4]],"date-time":"2019-06-04T12:34:01Z","timestamp":1559651641000},"page":"121-126","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Resection of the Gastroesophageal Junction and Roux-en-Y Reconstruction as a New Alternative for the Treatment of Recurrent Achalasia: Outcomes in a Short Series of Patients"],"prefix":"10.1177","volume":"30","author":[{"given":"Javier","family":"Ithurralde-Argerich","sequence":"first","affiliation":[{"name":"Foregut Surgery Unit, Digestive Surgery Department, Hospital de Gastroenterolog\u00eda \u201cDr. Carlos Bonorino Udaondo,\u201d Ciudad Aut\u00f3noma de Buenos Aires, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Cuenca-Abente","sequence":"additional","affiliation":[{"name":"Foregut Surgery Unit, Digestive Surgery Department, Hospital de Gastroenterolog\u00eda \u201cDr. Carlos Bonorino Udaondo,\u201d Ciudad Aut\u00f3noma de Buenos Aires, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Faerberg","sequence":"additional","affiliation":[{"name":"Foregut Surgery Unit, Digestive Surgery Department, Hospital de Gastroenterolog\u00eda \u201cDr. Carlos Bonorino Udaondo,\u201d Ciudad Aut\u00f3noma de Buenos Aires, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Rosner","sequence":"additional","affiliation":[{"name":"Foregut Surgery Unit, Digestive Surgery Department, Hospital de Gastroenterolog\u00eda \u201cDr. Carlos Bonorino Udaondo,\u201d Ciudad Aut\u00f3noma de Buenos Aires, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camilo","family":"Duque-Seguro","sequence":"additional","affiliation":[{"name":"Foregut Surgery Unit, Digestive Surgery Department, Hospital de Gastroenterolog\u00eda \u201cDr. Carlos Bonorino Udaondo,\u201d Ciudad Aut\u00f3noma de Buenos Aires, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Ferro","sequence":"additional","affiliation":[{"name":"Foregut Surgery Unit, Digestive Surgery Department, Hospital de Gastroenterolog\u00eda \u201cDr. Carlos Bonorino Udaondo,\u201d Ciudad Aut\u00f3noma de Buenos Aires, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,2,10]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i35.5806"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i14.1573"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1999.01639.x"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-006-9165-9"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.136.8.870"},{"key":"e_1_3_2_7_2","first-page":"71","article-title":"Megaes\u00f3hagus. 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