Laparoscopic Heller Myotomy
Case description
The objectives of this procedure are:
(1) to carry out myotomy of the longitudinal and circular muscles of the lower 6 cm of the esophagus, the esophagogastric junction, and the proximal 2 cm of the stomach obliterating the dysfunctional LES and
(2) to augment the antireflux barrier by fixing the lower 6 cm of myotomized esophagus below the diaphragm under the influence of positive intra-abdominal pressure and wrapping it with a partial anterior gastric fundoplication to compress the esophagus during increases in intragastric pressure, at which time reflux usually occurs.
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