achalasia

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Technique of Heller Myotomy for Achalasia

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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...

Adequate Heller Myotomy

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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....

Esophageal Diverticulum in a Case of Achalasia

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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

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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

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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...

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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

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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...

Saving the Hepatic Branch of the Anterior Vagus...

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Sacrificing the hepatic branch causes prolongation in the GET. This change in the motor functions of the gallbladder does not cause any symptomatic effect during the early postoperative period. However,...

Laparoscopic Heller Myotomy

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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...

Where is the Target Endpoint of the Myotomy in...

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The pars flaccida of the gastrohepatic ligament is divided using a monopolar, bipolar, or ultrasonic energy device.Then creation of the Retroesophageal Window andplacing the Penrose drain allows retraction...

Laparoscopic Heller Myotomy

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The laparoscopic Heller myotomy combined with a Dor fundoplication has become the operative standard of care for the treatment of achalasia. One challenge has been the lack of effective techniques for...

Does it Make Patient`s Dysphagia? A Big Lipoma...

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Surgical video case: esophageal lipomas are rare tumors, making up 0.4% of all digestive tract benign neoplasms. Most of these lesions are clinically silent as a result of their small size, however, the...

Classic Endoscopic Findings of Achalasia

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Endoscopy plays an important role in early evaluation, primarily to exclude other diseases such as webs, rings, esophageal cancer, and proximal gastric cancer, which can mimic the symptoms of achalasia....

Achalasia Endoscopy in Situs Inversus Totalis

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Endoscopy video case: situs inversus totalis is a rare congenital disorder characterized by a completely reversed position (mirror‐image) of the thoracic and abdominal visceral organs. This preoperative...

Laparoscopic Heller Myotomy: Stretching and Tearing...

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Surgical video case: laparoscopic Heller myotomy with anterior fundoplication significantly relieves the symptoms of achalasia without causing the symptoms of gastroesophageal reflux disease. This procedure...

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