Laparoscopic heller myotomy
Mastering Heller Myotomy: Preserving the Anterior...
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...
End Result of Laparoscopic Heller Myotomy Adequate...
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...
One Centimeter More: The Role of Vagal-Esophageal...
Adequate intra-abdominal esophageal length is crucial for tension-free wraps and complete myotomies during laparoscopic Heller myotomy and Nissen fundoplication. Distal esophageal mobilization and release...
Long Myotomy for Achalasia
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...
Laparoscopic Heller Myotomy for Extreme Megaesophagus...
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...
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...
Laparoscopic Heller Myotomy and Dor Fundoplication...
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...
Management of End Stage Sigmoid Achalasia with...
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 for the Treatment...
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)...
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...
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 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...
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...
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...
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