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Laparoscopic Heller Myotomy for Achalasia Technical Aspects.

Abstract
Esophageal achalasia is a primary esophageal motility disorder defined by the lack of esophageal peristalsis, and by a lower esophageal sphincter that fails to relax in response to swallowing. Patients' symptoms include dysphagia, regurgitation, aspiration, heartburn, and chest pain. Achalasia is a chronic condition without cure, and treatment options are aimed at providing symptomatic relief, improving esophageal emptying, and preventing the development of megaesophagus. Presently, a laparoscopic Heller myotomy with a partial fundoplication is considered the best treatment modality. A properly executed operation is key for the success of a laparoscopic Heller myotomy.
AuthorsFrancisco Schlottmann, Marco E Allaix, Marco G Patti
JournalThe American surgeon (Am Surg) Vol. 84 Issue 4 Pg. 477-480 (Apr 01 2018) ISSN: 1555-9823 [Electronic] United States
PMID29712592 (Publication Type: Journal Article)
Topics
  • Esophageal Achalasia (surgery)
  • Fundoplication (methods)
  • Heller Myotomy (methods)
  • Humans
  • Laparoscopy (methods)
  • Treatment Outcome

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