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dc.contributor.CRUESPUNIVERSIDADE ESTADUAL DE CAMPINASpt_BR
dc.contributor.authorunicampAndreollo, Nelson Adami-
dc.contributor.authorunicampLopes, Luiz Roberto-
dc.typeArtigopt_BR
dc.titleTreatment of achalasia : lessons learned with Chagas’ diseasept_BR
dc.contributor.authorHerbella, F. A. M.-
dc.contributor.authorAquino, J. L. B.-
dc.contributor.authorStefani-Nakano, S.-
dc.contributor.authorArtifon, E. L. A.-
dc.contributor.authorSakai, P-
dc.contributor.authorCrema, E.-
dc.contributor.authorAndreollo, N. A.-
dc.contributor.authorLopes, L. R.-
dc.contributor.authorPochini, C. De Castro-
dc.contributor.authorCorsi, P. R.-
dc.contributor.authorGagliardi, D.-
dc.contributor.authorDel Grande, J. C.-
dc.subjectDoença de Chagaspt_BR
dc.subject.otherlanguageChagas diseasept_BR
dc.description.abstractChagas’ disease (CD) is highly prevalent in South America. Brazilian surgeons and gastroenterologists gained valuable experience in the treatment of CD esophagopathy (chagasic achalasia) due to the high number of cases treated. The authors reviewed the lessons learned with the treatment of achalasia by different centers experienced in the treatment of Chagas’ disease. Preoperative evaluation, endoscopic treatment (forceful dilatation and botulinum toxin injection), Heller’s myotomy, esophagectomy, conservative techniques other than myotomy, and reoperations are discussed in the light of personal experiences and review of International and Brazilian literature. Aspects not frequently adopted by North American and European surgeons are emphasized. The review shows that nonadvanced achalasia is frequently treated by Heller’s myotomy. Endoscopic treatment is reserved to limited cases. Treatment for end-stage achalasia is not unanimous. Esophagectomy was a popular treatment in advanced disease; however, the morbidity/mortality associated to the procedure made some authors seek different alternatives, such as Heller’s myotomy and cardioplasties. Minimally invasive approach to esophageal resection may change this concept, although few centers perform the procedure routinelypt_BR
dc.relation.ispartofDiseases of the esophaguspt_BR
dc.publisher.cityCary, NCpt_BR
dc.publisher.countryEstados Unidospt_BR
dc.publisherOxford University Presspt_BR
dc.date.issued2008-
dc.date.monthofcirculationAug.pt_BR
dc.language.isoengpt_BR
dc.description.volume21pt_BR
dc.description.issuenumber5pt_BR
dc.description.firstpage461pt_BR
dc.description.lastpage467pt_BR
dc.rightsFechadopt_BR
dc.sourceWOSpt_BR
dc.identifier.issn1120-8694pt_BR
dc.identifier.eissn1442-2050pt_BR
dc.identifier.doi10.1111/j.1442-2050.2008.00811.xpt_BR
dc.identifier.urlhttps://academic.oup.com/dote/article-abstract/21/5/461/2374325pt_BR
dc.date.available2020-09-02T20:38:26Z-
dc.date.accessioned2020-09-02T20:38:26Z-
dc.description.provenanceSubmitted by Susilene Barbosa da Silva (susilene@unicamp.br) on 2020-09-02T20:38:26Z No. of bitstreams: 0. Added 1 bitstream(s) on 2021-01-04T15:12:27Z : No. of bitstreams: 1 000258098400013.pdf: 286547 bytes, checksum: 0593eb78b129e585605201f46e30728c (MD5)en
dc.description.provenanceMade available in DSpace on 2020-09-02T20:38:26Z (GMT). No. of bitstreams: 0 Previous issue date: 2008en
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/348595-
dc.contributor.departmentDepartamento de Cirurgiapt_BR
dc.contributor.departmentDepartamento de Cirurgiapt_BR
dc.contributor.unidadeFaculdade de Ciências Médicaspt_BR
dc.contributor.unidadeFaculdade de Ciências Médicaspt_BR
dc.subject.keywordTreatment of achalasiapt_BR
dc.identifier.source000258098400013pt_BR
dc.creator.orcid0000-0001-7452-1165pt_BR
dc.creator.orcidSem informaçãopt_BR
dc.type.formArtigopt_BR
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