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Laparoscopic Heller Myotomy with Partial (Dor) Fundoplication

  • Francisco Schlottmann
  • Marco Di Corpo
  • Marco G. Patti
Chapter

Abstract

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. Patients’ symptoms include dysphagia, regurgitation, aspiration, heartburn, and chest pain. This chronic disease has no cure, and the different treatment modalities aim to improve esophageal emptying and provide symptomatic relief. The laparoscopic Heller myotomy includes an esophageal myotomy, which is extended proximally for about 6 cm above the esophagogastric junction, and distally for about 2.5 cm onto the gastric wall. A partial fundoplication is added in order to prevent postoperative gastroesophageal reflux. A properly executed technique is critical for the success of the operation.

Keywords

Achalasia Dysphagia Laparoscopy Heller myotomy Dor fundoplication 

Notes

Conflict of Interest

The authors have no conflict of interest to declare.

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Francisco Schlottmann
    • 1
    • 2
  • Marco Di Corpo
    • 2
  • Marco G. Patti
    • 3
    • 4
  1. 1.Department of SurgeryHospital Alemán of Buenos Aires, University of Buenos AiresBuenos AiresArgentina
  2. 2.Department of SurgeryUniversity of North CarolinaChapel HillUSA
  3. 3.Department of SurgeryCenter for Esophageal Diseases and Swallowing, University of NorthChapel HillUSA
  4. 4.Department of MedicineCenter for Esophageal Diseases and Swallowing, University of North CarolinaChapel HillUSA

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