World Journal of Surgery

, Volume 39, Issue 7, pp 1625–1630 | Cite as

Recurrent Symptoms After Heller Myotomy for Achalasia: Evaluation and Treatment

  • Marco G. Patti
  • Marco E. Allaix
Surgical Symposium Contribution


A laparoscopic Heller myotomy with partial fundoplication is considered today in most centers in the United States and abroad the treatment of choice for patients with esophageal achalasia. Even though the operation has initially a very high success rate, dysphagia eventually recurs in some patients. In these cases, it is important to perform a careful work-up to identify the cause of the failure and to design a tailored treatment plan by either endoscopic means or revisional surgery. The best results are obtained by a team approach, in Centers where radiologists, gastroenterologists, and surgeons have experience in the diagnosis and treatment of this disease.


Achalasia Heller Myotomy Laparoscopic Heller Myotomy Partial Fundoplication Esophageal Achalasia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of interest

The authors have no conflicts of interest to declare.


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Copyright information

© Société Internationale de Chirurgie 2014

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Chicago Pritzker School of MedicineChicagoUSA
  2. 2.Department of Surgical SciencesUniversity of TorinoTorinoItaly

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