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Esophagomyotomy for Achalasia and Diffuse Esophageal Spasm: Surgical Legacy Technique

  • Carol E. H. Scott-ConnerEmail author
  • Jameson L. Chassin
Chapter

Abstract

Open esophagomyotomy has largely been supplanted by laparoscopic myotomy (see Chap. 26). It is still sometimes indicated when the extent of disease is greater than can be addressed through the abdominal approach. This chapter describes the technique for the classic Heller myotomy, performed through the left chest.

Keywords

Methylene Blue Distal Esophagus Esophagogastric Junction Heller Myotomy Esophageal Dilatation 
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.

Further Reading

  1. Beck WC, Sharp KW. Achalasia. Surg Clin N Am. 2011;91:1031.PubMedCrossRefGoogle Scholar
  2. Csendes A, Braghetto I, Mascaro J, Henriquez A. Late subjective and objective evaluation of the results of esophagomyotomy in 100 patients with achalasia of the esophagus. Surgery. 1988;104:469.PubMedGoogle Scholar
  3. Donohue PE, Schlesinger PK, Sluss KF, et al. Esophagocardiomyotomy—floppy Nissen fundoplication effectively treats achalasia without causing esophageal obstruction. Surgery. 1994;116:719.Google Scholar
  4. Ellis FH. Esophagectomy for achalasia: who, when, and how much? Ann Thorac Surg. 1989;47:334.PubMedCrossRefGoogle Scholar
  5. Ellis Jr FH. Oesophagomyotomy for achalasia: a 22 year experience. Br J Surg. 1993;80:882.PubMedCrossRefGoogle Scholar
  6. Ellis Jr FH, Gibb SP, Crozier RE. Esophagomyotomy for achalasia of the esophagus. Ann Surg. 1980;192:157.PubMedCrossRefGoogle Scholar
  7. Henderson RD, Ryder DE. Reflux control following myotomy in diffuse esophageal spasm. Ann Thorac Surg. 1982;34:230.PubMedCrossRefGoogle Scholar
  8. Kashiwaqi H, Omura N. Surgical treatment for achalasia: when should it be performed, and for which patients? Gen Thorac Cardiovasc Surg. 2011;59:389.CrossRefGoogle Scholar
  9. Murray GF, Battaglini JW, Keagy BA, et al. Selective application of fundoplication in achalasia. Ann Thorac Surg. 1984;37:185.PubMedCrossRefGoogle Scholar
  10. Orringer MB, Stirling MC. Esophageal resection for achalasia: indications and results. Ann Thorac Surg. 1989;47:340.PubMedCrossRefGoogle Scholar
  11. Pellegrini C, Wetter LA, Patti M, et al. Thoracoscopic esophagomyotomy: initial experience with a new approach for the treatment of achalasia. Ann Surg. 1992;216:296.CrossRefGoogle Scholar
  12. Skinner DB. Myotomy and achalasia. Ann Thorac Surg. 1984;37:183.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol E. H. Scott-Conner
    • 1
    Email author
  • Jameson L. Chassin
    • 2
  1. 1.Department of Surgery, Roy J. and Lucille A. Carver College of MedicineUniversity of IowaIowa CityUSA
  2. 2.Department of SurgeryNew York University School of MedicineNew YorkUSA

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