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New paper proposes that length of myotomy during achalasia surgery may be shortened using EndoFLIP

24th March 2015

A new paper from Guy's and St Thomas's Hospital, London has been published which proposes that the length of the myotomy carried out during Achalasia surgery may be reduced by an average of 5cm by using EndoFLIP guidance during surgery, with no reported reduction in post-operative quality of life. The paper describes how use of intraluminal imaging with the EndoFLIP balloon located in the gastroesophageal junction during surgery, acts as a smart bougie. As fibre is cut, the surgeon can observe the junction opening in real time, and can stop cutting when adequate junction opening is achieved. This offers an shorter surgery compared with the more traditional approach which requires up to 12cm of fiber to be cut regardless of the opening being achieved, since junction opening has not traditionally been possible to measure during surgery.

Paper Reference:
Intraoperative distensibility measurement during laparoscopic Heller's myotomy for achalasia may reduce the myotomy length without compromising patient outcome
Ilczyszyn, K. Hamaoui, J. Cartwright, A. Botha
Diseases of the Esophagus 2015 Mar 13 doi: 10.1111/dote.12343 [Epub ahead of print]

 
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