The long-term efficacy of pneumatic dilation and Heller myotomy
for the treatment of achalasia.
is superior to dilatation for the treatment of early achalasia.
Material and Methods: This study was carried out on patients undergoing surgical repair of laparoscopic Heller myotomy
for cardiac achalasia at Combined Military Hospital Rawalpindi over a period of four years (2010 -2014).
We present the case of a patient with achalasia cardia who developed retrograde gastroesophageal intussusception (GEI) after Heller myotomy
or laparoscopic myotomy, endoscopic therapy i.
Laparoscopic re-operation for failed Heller myotomy
Pneumatic dilation, laparoscopic Heller myotomy
with fundoplication and per oral endoscopic myotomy has since become more popular due to less invasive and a similar outcome.
In 2007 an elective laparoscopic Heller myotomy
(approximately 5 cm anterior myotomy) with Dor fundoplication was performed without complication.
The main debate has historically lain between advocating the use of endoscopic dilatation versus laparoscopic Heller myotomy
Robotically assisted Heller myotomy
is emerging as a safe alternative to the laparoscopic approach.
With the ability to advance the boundaries of minimally invasive surgery and laparo-endoscopic single site surgery in procedures such as Choleystectomy (gallbladder removal), Hysterectomy (removal of uterus), Nephrectomy (kidney resection), Heller Myotomy
(procedure for Achalasia) and more, the laparoscope features:
The laparoscopic Heller myotomy
involves cutting the LES muscle, making it incompetent and allowing food boluses to pass through the LES.