{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T21:58:00Z","timestamp":1767650280998},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T00:00:00Z","timestamp":1669939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To report the management and outcomes of dogs treated for lower esophageal sphincter achalasia\u2010like syndrome (LES\u2010AS) with modified Heller myotomy, Dor fundoplication, and with the use of a temporary gastrostomy tube.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Retrospective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample population<\/jats:title><jats:p>Thirteen client\u2010owned dogs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records and a client survey were used to assess frequency of vomiting\/regurgitation, quality of life (QoL), bodyweight, and feeding modifications at the following time points: prior to referral, postoperatively from discharge to first recheck (4\u20106\u2009weeks), and from first recheck to survey (48\u2009months). Postoperative and gastrostomy tube complications were surveyed and recorded. Pretreatment and 4\u20106\u2009weeks postoperative videofluoroscopic swallow studies (VFSS) were compared. Two\u2010sided <jats:italic>t<\/jats:italic>\u2010tests were used to compare outcomes between survey time points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postoperative VFSS scores (available in 9 dogs) improved over preoperative scores in 6 dogs, and 12\/13 dogs survived to discharge. One dog was euthanized 3\u2009days postoperatively due to aspiration pneumonia. Postoperative gastrostomy tube complications occurred in half of the dogs that survived to discharge. According to the owners, scores assigned to vomiting\/regurgitation improved by 180% (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.004), QoL by 100% (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.004), and bodyweight by 63% (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.035).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Modified Heller myotomy with Dor fundoplication and the use of a temporary gastrostomy tube improved clinical signs and owners' perceived quality of life in half of the dogs treated for LES\u2010AS in our clinical setting. Oral sildenafil therapy discontinued postoperatively suggests that surgery was equally efficacious.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Modified Heller myotomy with Dor fundoplication and temporary gastrostomy tube is a treatment option with potentially sustained benefits for dogs that have LES\u2010AS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13912","type":"journal-article","created":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T11:41:35Z","timestamp":1669981295000},"page":"315-329","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Management and outcomes of 13 dogs treated with a modified Heller myotomy and Dor fundoplication for lower esophageal sphincter achalasia\u2010like syndrome"],"prefix":"10.1111","volume":"52","author":[{"suffix":"III","given":"John M.","family":"Winston","sequence":"first","affiliation":[{"name":"University of Missouri Veterinary Health Center  Columbia Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. 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