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...
Extended Laparoscopic Heller Myotomy for Type...
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...
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...
Methylene Blue Test after Myotomy Completion...
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...
Outcomes after Peroral Endoscopic Myotomy for...
This talk was presented at the SS28: Flex Endo Quickshot Session session by Simon Che MD on Thursday, March 30, 2023 during the SAGES 2023 Annual Meeting in Montréal, Canada.
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...
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...
POEM (22 cm Long Myotomy) for Distal (Diffuse)...
Clinical video case: 96 years old man with long standing history of Dysphagia, chest pain, vomiting and weight loss, diagnosed as distal (diffuse) esophageal spasm (DES ), underwent POEM.
Predictors of Reintervention After Peroral Endoscopic...
This talk was presented at the SS28: Flex Endo Quickshot Session session by Saher-Zahra Khan MD on Thursday, March 30, 2023 during the SAGES 2023 Annual Meeting in Montréal, Canada.
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...
Achalasia Surgery - Mobilizing the Left Hemiliver...
A general exploration of the abdomen is undertaken, with particular attention paid to the duodenal wall for evidence of scarring or deformity. The left hemiliver is then mobilized by dividing the triangular...
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...
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...
Peroral Endoscopic Myotomy (POEM) for Treatment...
The treatment options for hypercontractile esophageal disorders are disappointing so far. POEM could be the adequate procedure for spastic motor disorders, because it allows myotomy not only of the lower...
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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