202 patients were treated for cardiospasm. The results of various methods of treating cardiospasm were tested, and their deficiencies, dangers and efficacy compared and analysed, Therapy should commence with a bloodless instrumental dilatation of the cardia, which yields 73.4% good late results. Surgery should only be resorted to if it is impossible to pass the dilator through the cicatricially stenosed cardia, if the esophagus is distorted with concomitant esophagitis or if it is impossible to insert the cardiodilator, if a recurrence develops soon after a cardiodilatation or if it is impossible to exclude a diagnosis of cancer of the cardia. The best surgical method is transthoracic extramucous esophagomyotomy with subsequent repair of the defect utilising the gastric wall.
|Translated title of the contribution||Comparison of the therapeutic results in cardiospasm|
|Number of pages||5|
|Journal||Zentralblatt fur Chirurgie|
|Publication status||Published - 1973|
Field of Science
- 3.2 Clinical medicine
- 1.1. Scientific article indexed in Web of Science and/or Scopus database