World Journal of Surgery

, Volume 39, Issue 7, pp 1631–1633 | Cite as

Laparoscopic Heller Myotomy and Fundoplication in Patients with End-Stage Achalasia

  • Fernando A. M. Herbella
  • Marco G. Patti
Surgical Symposium Contribution


Achalasia may present in a non-advanced or advanced (end stage) stage. The latter is characterized by massive esophageal dilatation and/or the loss of the esophageal straight axis (sigmoid-shaped esophagus). The treatment for non-advanced cases of achalasia is well defined while the therapy for end-stage disease is still debatable. Laparoscopic Heller’s myotomy is an option in patients with end-stage achalasia. Dysphagia is relieved in a significant number of patients, it is a simpler operation to be used in frail patients, and it does not preclude a latter esophagectomy if necessary.


Achalasia Botulinum Toxin Injection Heller Myotomy Pneumatic Dilatation Laparoscopic Heller Myotomy 
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

There are no conflicts of interest.


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Copyright information

© Société Internationale de Chirurgie 2015

Authors and Affiliations

  1. 1.Department of Surgery, Escola Paulista de MedicinaFederal University of São PauloSão PauloBrazil
  2. 2.Department of SurgeryUniversity of ChicagoChicagoUSA

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