Many experts consider laparoscopic Heller's myotomy (LHM) to be superior to pneumatic dilation for the treatment of achalasia, and LHM is increasingly considered to be the treatment of choice for this ...
Surgical treatment of achalasia has evolved over the last several years. Transthoracic or transabdominal Heller anterior myotomy provide excellent relief of dysphagia. However, it is associated with ...
Laparoscopic Heller myotomy improves swallowing in more than 90% of patients. What causes the relatively few failures reported is still incompletely understood. Typically, a failed Heller myotomy is ...
An endoscope with a transparent cap enters through a 2 cm mucosal incision into the submucosal “third” space, approximately 5 cm proximal to the lower esophageal sphincter. Four distinct tissue layers ...
A laparoscopic Heller myotomy is a surgical procedure used to treat achalasia, a condition in which the esophagus doesn't push food and liquid into the stomach effectively and the lower esophageal ...
Achalasia is a fairly rare (prevalence ∼1 case per 10,000 population) oesophageal motility disorder of unknown aetiology with a worldwide distribution. Traditional treatments primarily include ...
1. Which doctor should I consult for myotomy? Esophageal myotomy is usually performed by a gastroenterologist. A medical gastroenterologist may perform endoscopic procedures. Other procedures are ...
Achalasia is a disorder of motility in the esophagus in which the esophagus has lost its normal ability to move food and liquids down into the stomach. In addition, the lower esophageal sphincter, the ...
The extension of the myotomy onto the gastric wall (clearly the most critical and challenging part of the operation) proved difficult because of poor exposure, with the consequent risk of a short ...