Achalasia Medical Procedure

Achalasia Medical Procedure – A Definitive Visual Guide

Understanding the nuances of the modern achalasia medical procedure is essential for any gastroenterologist or upper gastrointestinal surgeon aiming to provide effective, long-term relief for this complex esophageal motility disorder. MEDtube, the world’s leading e-learning platform for medical professionals, offers a comprehensive and detailed video library dedicated to the diagnosis and management of achalasia. This curated collection is an invaluable resource for specialists, surgeons in training, and medical students, providing a high-definition, procedural view of both surgical and endoscopic interventions.

From Heller Myotomy to Pneumatic Dilation: A Spectrum of Techniques

This extensive collection provides a deep dive into the full spectrum of achalasia treatment, moving far beyond theoretical discussions to showcase real-world clinical application. The cornerstone of our surgical library is the Laparoscopic Heller Myotomy, demonstrated in meticulous detail across various cases. You will find expert-led videos showcasing the myotomy paired with different anti-reflux procedures, including both the Dor fundoplication (anterior) and the Toupet fundoplication (posterior), with some videos even exploring technical modifications like the "3-stitch" Dor repair.


Our content addresses the most challenging clinical scenarios, including the surgical approach to extreme megaesophagus as a viable alternative to esophagectomy and the specific techniques required for managing Type III (spastic) achalasia. Crucially, the library also covers the identification and management of intraoperative complications, with detailed cases on the repair of an achalasia mucosal perforation. Beyond surgery, the collection features key endoscopic and diagnostic procedures, including pneumatic balloon dilation, classic barium swallow imaging illustrating the "bird’s beak" sign, and various other diagnostic endoscopic maneuvers, providing a complete overview of the patient journey from diagnosis to definitive treatment.

Advance Your Expertise in Esophageal Motility: Join MEDtube

Engaging with MEDtube’s content is a direct investment in your clinical and surgical proficiency. You unlock a peer-reviewed guide from a global expert, ensuring you have access to credible, state-of-the-art techniques. By registering, you unlock more than just a video archive; you gain entry into a global community where you can create personalized learning playlists, discuss challenging cases with peers, and learn from the world’s leading foregut surgeons and gastroenterologists. Don’t just read about the management of achalasia—see it performed with precision. Register for free on MEDtube today to gain unlimited access to our complete video library on every achalasia medical procedure.

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Dor fundoplication slipped into the mediastinum...

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A 70-year-old patient with a history of having undergone Heller cardiomyotomy and Dor fundoplication by open approach 30 years prior for a diagnosis of Achalasia, 06 months before his current surgery...

Mastering Heller Myotomy: Preserving the Anterior...

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During Heller myotomy, preservation of the anterior vagus nerve is a critical step that directly impacts postoperative gastric function. The anterior vagus nerve runs along the anterior surface of the...

Extended Laparoscopic Heller Myotomy for Type...

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In type III achalasia, characterized by spastic and hypertensive esophageal contractions, an extended and carefully controlled Heller myotomy is essential for durable symptom relief. In this video, I...

End Result of Laparoscopic Heller Myotomy Adequate...

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This short video demonstrates the final outcome of laparoscopic Heller myotomy after complete separation of the circular and longitudinal muscle fibers of the esophagus. The myotomy is extended approximately...

Long Myotomy for Achalasia

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Laparoscopic Heller myotomy (LHM) is indeed considered the gold standard treatment for achalasia. Studies indicate that it effectively relieves dysphagia in over 90% of patients, with minimal complications...

Methylene Blue Test after Myotomy Completion...

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Laparoscopic Heller's cardiomyotomy is the surgical procedure of choice in the management of oesophageal achalasia. It is critical to confirm the completeness of the myotomy and mucosal integrity at the...

Heller Myotomy with Toupet Fundoplication

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Laparoscopic Heller´s myotomy with Toupet fundoplication. 

Laparoscopic Heller Myotomy for Extreme Megaesophagus...

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Heller myotomy is recognized as the optimal treatment for achalasia. However, treatment of the markedly dilated esophagus has been debated in the literature. Although esophagectomy has been the standard...

Achalasia Mucosal Perforation: Repair of Perforation...

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Laparoscopic Heller myotomy is the mainstay surgical treatment of esophageal achalasia and has proven to be safe and effective over the course of time. Esophageal perforation after myotomy can be a serious...

3 Stitch Modification of the Dor Fundoplication

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Despite nearly absent esophageal contractility, Heller myotomy with Dor fundoplication and POEM result in similar long-term symptom relief, esophageal emptying, and occurrence of reintervention in patients...

Laparoscopic Heller Myotomy and Dor Fundoplication...

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Achalasia is a degenerative esophageal disease characterized by aperistalsis of the esophageal body and impaired relaxation of the lower esophageal sphincter. The etiology involves T-cell mediated destruction...

Laparoscopic Heller Myotomy for the Treatment...

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Laparoscopic Heller myotomy (LHM) is the gold standard treatment for achalasia. Peroral endoscopic myotomy (POEM), a less invasive treatment, is performed extensively, and the selection of the intervention...

Management of End-stage Achalasia (Sigmoid Achalasia)...

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Achalasia is a rare esophageal motility disorder causing dysphagia and weight loss. Severe cases may present with a significantly dilated and sigmoid-shaped esophagus (sigmoid achalasia). Traditionally,...

Laparoscopic Heller Myotomy with Fundoplication...

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Laparoscopic-modified Heller esophagocardiomyotomy is the standard treatment for patients with achalasia. Long-term patient satisfaction exceeds 90%. An antireflux procedure can reduce postoperative heartburn...

Laparoscopic Heller's Cardiomyotomy

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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.  

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