achalasia
Laparoscopic Heller's Cardiomyotomy
This is a case of a laparoscopic Heller's cardiomyotomy, with details of the procedure steps. The patient had 31 yo with symptoms of achalasia (mainly dysphagia). Idiopathic / grade II.
Heller's Myotomy Robotically Assisted
The authors present the case of a 46-year-old man, with no known personal history, who went to the general surgery clinic due to dysphagia for solids that had been going on for around 2 years and an associated...
Muscle Splitting Technique in Heller's Myotomy...
Dissection starts by entering the gastrohepatic ligament, ensuring the hepatic branch of the vagus nerve is preserved. The interface between the right phrenoesophageal ligament and right crus is...
Does the Submucosa Play a Role in the Pathophysiology...
This talk was presented at the SS28: Flex Endo Quickshot Session session by Timothy Morley MD on Thursday, March 30, 2023 during the SAGES 2023 Annual Meeting in Montréal, Canada.
Laparoscopic Revisional Surgery After Failed...
Heller myotomy has proved an effective treatment for esophageal achalasia, with good or excellent results in 90% of patients. The treatment of failures remains controversial, however. Recurrence...
Laparoscopic Surgery for Esophageal Achalasia...
This video demonstrates a case of achalasia in a 34-year-old man suffering from esophageal achalasia complicated with sigmoid esophagus and epiphrenic esophageal diverticulum was treated with a simultaneous...
The Laparoscopic Approach for Epiphrenic Diverticula...
Esophageal diverticula refer to outpouchings of the esophageal mucosa and may be seen with esophageal motility disorders. In achalasia, pulsion diverticula may form as a result of increased intraluminal...
Adequate Heller Myotomy
Laparoscopy video case: five trocars were placed in the upper part of the abdomen. The gastroesophageal junction and lower mediastinal esophagus were widely mobilized while both vagus nerves were preserved....
Heller Myotomy and Dor Fundoplication for Achalasia...
Heller myotomy and dor fundoplication for achalasia in obese patients is safe and effective. Obesity rates are rising dramatically worldwide. As such we are likely to be dealing with many more patients...
Technique of Heller Myotomy for Achalasia
Surgical video case: the easiest place to start the myotomy is on the distal esophagus 1-1.5 cm above GEJ. Grasp the 2 sides of the muscularis, folding the muscle into the jaws of the graspers. By streching...
Esophageal Diverticulum in a Case of Achalasia
Surgical video case: among causes of esophageal diverticulum: - Weakness in the esophagus wall - Inflammation and damage to the esophagus lining, called esophagitis - Sphincter disorders - Esophageal...
Massive Food Impaction in Achalasia
We report a cases of acute dysphagia in the context of massivefood impaction. The patient was, a 23-year-old woman, presented with a late complication of achalasia. Impaction was the first manifestation...
Dor Fundoplication in Achalasia
Surgical video case: since reflux of gastric contents into the aperistaltic esophagus can cause esophagitis, peptic strictures, Barrett's esophagus, and even esophageal carcinoma, the addition of a partial...
Laparoscopic Heller Myotomy and DOR Fundoplication...
Laparoscopic Heller myotomy is considered by many experts as the best treatment modality for most patients with newly diagnosed achalasia. The best place to start the myotomy is about 2 cm above...
Laparoscopic Heller Myotomy and Dor Fundoplication
Achalasia is a primary esophageal motility disorder characterized by lack of esophageal peristalsis and partial or absent relaxation of the lower esophageal sphincter in response to swallowing. Available...