Heller Myotomy

Surgical incision of the lower esophageal sphincter near the CARDIA often used to treat ESOPHAGEAL ACHALASIA.

Also Known As:

Heller Groeneweldt Operation; Heller Groeneweldt Surgery; Heller Operation; Heller's Myotomy; Laparoscopic Heller Cardiomyotomy; Laparoscopic Heller Myotomy; Heller Myotomy, Laparoscopic; Myotomy, Heller; Myotomy, Heller's

Networked: 832 relevant articles (142 outcomes, 83 trials/studies)

Relationship Network

Therapy Context: Research Results

Operative Surgical Procedures: 34913
- Myotomy: 2580
  - Sphincterotomy: 1607
    - Heller Myotomy: 832
- Digestive System Surgical Procedures: 30
  - Heller Myotomy: 832

Experts

1.	Patti, Marco G: 33 articles (01/2022 - 05/2003)
2.	Rosemurgy, Alexander S: 14 articles (09/2017 - 01/2002)
3.	Richter, Joel E: 13 articles (01/2021 - 06/2004)
4.	Costantini, Mario: 12 articles (01/2021 - 02/2002)
5.	Zaninotto, Giovanni: 12 articles (01/2021 - 02/2002)
6.	Omura, Nobuo: 11 articles (03/2022 - 01/2006)
7.	Kashiwagi, Hideyuki: 10 articles (03/2022 - 01/2006)
8.	Tsuboi, Kazuto: 10 articles (03/2022 - 01/2006)
9.	Yano, Fumiaki: 10 articles (03/2022 - 01/2006)
10.	Raja, Siva: 9 articles (02/2022 - 05/2016)

Related Diseases

1.	Esophageal Achalasia (Megaesophagus) 01/01/2023 - "There are now three well-established, safe, and effective therapies for the treatment of achalasia: pneumatic dilation (PD), laparoscopic Heller myotomy (LHM), and peroral endoscopic myotomy (POEM) which can lead to marked symptom improvement in most patients. " 01/01/2021 - "Heller myotomy (HM) and laparoscopic fundoplication represent the best treatment option for esophageal achalasia. " 05/01/2020 - "In paediatric achalasia, the laparoscopic Heller myotomy seems to be the best treatment because of its multiple advantages offered by the minimally invasive technique. " 02/01/2020 - "Background: Heller myotomy and laparoscopic fundoplication represents the best treatment option for esophageal achalasia, with effective short- and long-term success. " 01/01/2020 - "Laparoscopic Heller Myotomy is the most effective treatment of achalasia. "
2.	Deglutition Disorders (Dysphagia) 12/01/2003 - "Laparoscopic Heller myotomy is a very effective treatment for patients who experience recurrent dysphagia following a transthoracic myotomy." 03/01/2011 - "Transabdominal redo Heller myotomy for dysphagia has good outcomes. " 10/01/2021 - "The efficacy of Heller's myotomy with Dor fundoplication was found to be greater than endoscopic pneumatic dilatation for improvement in dysphagia and overall patient satisfaction at one-year follow-up." 01/25/2016 - "Even though few patients can be cured with only one treatment and repeat procedure might be needed, long term relief from dysphagia can be obtained in about 90% of cases with either surgical interventions such as laparoscopic Heller myotomy or with endoscopic techniques such pneumatic dilatation or, more recently, with per-oral endoscopic myotomy. " 01/01/2004 - "Robot-assisted laparoscopic Heller myotomy was demonstrated to be safe and effective in reducing basal LOS pressure and dysphagia. "
3.	Gastroesophageal Reflux (GERD) 01/01/2020 - "The efficacy of peroral endoscopic myotomy (POEM) is similar to that of the Heller myotomy, with an apparently greater prevalence of gastroesophageal reflux disease. " 01/01/2021 - "In tertiary referral centers, laparoscopic Heller myotomy and, if technically feasible, an anterior Dor fundoplication seem safe and effective to relieve gastroesophageal outflow obstruction and prevent gastroesophageal reflux." 01/01/2016 - "The rate of gastroesophageal reflux was comparable with prior studies of both POEM and laparoscopic Heller myotomy." 12/01/2014 - "Rates of iatrogenic gastroesophageal reflux, as measured both by symptoms and 24-h pH monitoring, appeared to be on par with recent studies of patients undergoing laparoscopic Heller myotomy and pneumatic dilation." 05/01/2010 - "Our objective in this study was to investigate functional changes of the esophagus after Heller myotomy and evaluate their influence on postoperative gastroesophageal reflux and esophageal morphologic changes. "
4.	Chest Pain (Chest Pains) 05/01/2010 - "The aim of the present study was to evaluate the long-term outcomes of laparoscopic Heller myotomy with Dor fundoplication (LHD) and its effect on chest pain. " 10/01/2020 - "Patients undergoing circumferential Heller myotomy had a higher rate of postoperative noncardiac chest pain relief than the laparoscopic Heller myotomy with Dor fundoplication group [95% (19/20) vs. 75% (45/60), p = 0.045]. " 07/01/2003 - "Although pneumatic dilatation is reported to improve chest pain in 20% of patients, the effect of laparoscopic Heller myotomy on chest pain is unknown. " 07/01/2003 - "Thus laparoscopic Heller myotomy was highly effective in treating achalasia with chest pain." 10/01/2020 - "There is promising early evidence that circumferential Heller myotomy may be effective in the treatment of achalasia-related chest pain. "
5.	Muscle Spasticity (Spastic) 06/01/2023 - "It matches or exceeds the efficacy of its surgical counterpart, the laparoscopic Heller myotomy, with superiority for type III (spastic) achalasia. " 06/16/2022 - "Peroral endoscopic myotomy (POEM) is a novel endoscopic procedure used to treat achalasia and other spastic esophageal disorders that is an alternative to Heller myotomy. " 01/01/2019 - "Longer myotomy length is often more easily achieved with POEM than with Heller myotomy, which raises the question of whether POEM results in better outcomes for type III achalasia, as types I and II do not generally have measurable spastic segments." 05/01/2017 - "Possible indications for POEM include previously failed Heller myotomy, pneumatic balloon dilatation or POEM, sigmoid achalasia, pediatric patients, spastic esophagus disorders, Zenker's diverticulum and gastroparesis. " 01/25/2016 - "POEM showed superior characteristics than the standard 100-year-old surgical or laparoscopic Heller myotomy (LHM), not only for all types of esophageal achalasia [classical (I), vigorous (II), spastic (III), Chicago Classification], but also for advanced sigmoid type achalasia (S1 and S2), failed LHM, or other esophageal motility disorders (diffuse esophageal spasm, nutcracker esophagus or Jackhammer esophagus). "

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Related Therapies and Procedures

1.	Fundoplication
2.	Myotomy
3.	Therapeutics
4.	Heller Myotomy
5.	Esophagectomy