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Laparoscopic Heller Myotomy and Dor Fundoplication for Esophageal Achalasia. How I do It

  • How I do it
  • Published:
Journal of Gastrointestinal Surgery

Abstract

The advent and the success of minimally invasive surgery have changed the treatment algorithm for esophageal achalasia. Today, a laparoscopic Heller myotomy and partial fundoplication is considered the treatment of choice for this disease. This article describes the technique of laparoscopic Heller myotomy and Dor fundoplication.

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References

  1. Patti MG, Fisichella PM, Perretta S, et al. Impact of minimally invasive surgery on the treatment of achalasia. A decade of change. J Am Coll Surg 2003;196:698–705.

    Article  PubMed  Google Scholar 

  2. Sweet MP, Nipomnick I, Gasper WJ, et al. The outcome of laparoscopic Heller myotomy for achalasia is not influenced by the degree of esophageal dilatation. J Gastrointest Surg 2007 (in press).

  3. Oelschalager BK, Chang L, Pellegrini CA. Improved outcome after extended gastric myotomy for achalasia. Arch Surg 2003;138:490–497.

    Article  Google Scholar 

  4. Richards WO, Torquati A, Holzman MD, et al. Heller myotomy versus Heller myotomy with Dor fundoplication. A prospective randomized double-blind clinical trial. Ann Surg 2004;240:405–415.

    Article  PubMed  Google Scholar 

  5. Khajanchee YS, Kanneganti S, Leatherwood AEB, et al. Laparoscopic Heller myotomy with Toupet fundoplication. Outcome predictors in 121 consecutive patients. Arch Surg 2005;140:827–834.

    Article  PubMed  Google Scholar 

  6. Bessell JR, Lally CJ, Schloithe A, et al. Laparoscopic cardiomyotomy for achalasia. Long-term outcomes. ANZ J Surg 2006;76:558–562.

    Article  PubMed  Google Scholar 

  7. Portale G, Costantini M, Rizzetto C, et al. Long-term outcome of laparoscopic Heller-Dor surgery for esophageal achalasia. Possible detrimental role of previous endoscopic treatment. J Gastrointest Surg 2005;9:1332–1339.

    Article  PubMed  Google Scholar 

  8. Smith CD, Stival A, Howell L, Swafford V. Endoscopic therapy for achalasia before Heller myotomy results in worse outcome than Heller myotomy alone. Ann Surg 2006;243:579–586.

    Article  PubMed  Google Scholar 

  9. Vaezi MF, Richter IE, Wilcox CM, et al. Botulinum toxin versus pneumatic dilatation in the treatment of achalasia. A randomized trial. Gut 1999;44:231–239.

    Article  PubMed  CAS  Google Scholar 

  10. Gockel I, Junginger Th, Bernhard G, Eckardt V. Heller myotomy for failed dilatation in achalasia. How effective is it? Ann Surg 2004;239:371–377.

    Article  PubMed  Google Scholar 

  11. Patti MG, Feo CV, Arcerito M, et al. Effects of previous treatment on results of laparoscopic Heller myotomy for achalasia. Dig Dis Sci 1999;11:2270–2276.

    Article  Google Scholar 

  12. Burpee SF, Mamazza J, Schlachta CM, et al. Objective analysis of gastroesophageal reflux after Heller myotomy: an anti-reflux procedure is required. Surg Endosc 2005;19:9–14.

    Article  PubMed  CAS  Google Scholar 

  13. Chen LQ, Chugtai T, Sideris L, et al. Long-term effects of myotomy and partial fundoplication for esophageal achalasia. Dis Esophagus 2002;15:171–179.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, University of California San Francisco, 521 Parnassus Ave, Room C-341, San Francisco, CA, 94143-0790, USA

    Marco G. Patti & Piero M. Fisichella

Authors
  1. Marco G. Patti
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  2. Piero M. Fisichella
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Correspondence to Marco G. Patti.

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Patti, M.G., Fisichella, P.M. Laparoscopic Heller Myotomy and Dor Fundoplication for Esophageal Achalasia. How I do It. J Gastrointest Surg 12, 764–766 (2008). https://doi.org/10.1007/s11605-007-0368-8

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  • DOI: https://doi.org/10.1007/s11605-007-0368-8

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