Achalasia Medical Procedure
Laparoscopic Heller Myotomy
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...
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
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...
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
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
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...
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...
Laparoscopic Heller's Myotomy in Achalasia Concomitant...
Surgical video case: achalasia is a rare esophageal motility problem that may coexist with a hiatal hernia. Both achalasia and hiatal hernia are associated with heartburn. The treatment in your case consists...
Steps in Laparoscopic Heller's Cardiomyotomy:...
After the ports have been inserted, the patient is usually placed in a steep reverse Trendelenburg position. A 10-mm 30° angled camera is used. The initial approach involves dividing the left phrenoesophageal...
Achalasia Treatment: Laparoscopic Heller Myotomy...
Achalasia is a rare esophageal motility disorder that causes progressive dysphagia and regurgitation. The aim of treatment for achalasia is to provide symptom relief by reducing esophageal outflow resistance...
Conventional Laparoscopy to Laparo-Endoscopic...
Surgical video case: conventional laparoscopy to laparo-endoscopic single site (LESS) Heller myotomy for achalasia.
Laparoscopic Heller Myotomy and DOR Fundoplication...
Surgical video case: laparoscopic Heller Myotomy and DOR fundoplication for recurrent achalasia.
Endoscopic Indicators of Esophageal Achalasia
Video case: endoscopic findings for Achalasia of the Esophagus as follows: (1) esophageal dilatation, (2) abnormal retention of liquid and/or food, (3) whitish change of the mucosal surface, (4) functional...
Coexisting Achalasia and Large Hiatal Hernia
The occurrence of hiatal hernia and achalasia in the same patient is considered to be extremely rare. Although hiatal hernia is reported with a 40-50% frequency in the general population, its occurrence...
Retro-Esophageal Tunneling and Myotomy by Stretching...
After incision of the phrenoesophageal ligament, the dissection is performed selectively over the anterior aspect of the esophagus. The anterior and posterior vagus nerves are identified and their branches...
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