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Laparoscopic Cardiomyotomy (Heller Myotomy)

  • Margret Oddsdottir

Abstract

Laparoscopic cardiomyotomy (Heller myotomy) is performed for achalasia. The diagnostic workup must exclude several diseases that can mimic achalasia (malignant obstruction, gastroesophageal reflux with stricture formation, diffuse esophageal spasm, and nutcracker esophagus), as treatment of these is quite different. A complete diagnostic workup is outlined in Table 17.1.

Keywords

Gastroesophageal Junction Heller Myotomy Pneumatic Dilation Laparoscopic Heller Myotomy Partial Fundoplication 
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.

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Selected References

  1. Abid S, Champion G, Richter JE, et al. Treatment of achalasia: the best of both worlds. Am J Gastroenterol 1994;89:979–985.PubMedGoogle Scholar
  2. Andreollo NA, Earlam RJ. Heller’s myotomy for achaasia: is an added anti-reflux procedure necessary? Br J Surg 1987;74,765–769.PubMedCrossRefGoogle Scholar
  3. Anselmino M, Zaninotto G, Costantini M, Rossi M, et al. One-year follow-up after laparoscopic Heller-Dor operation for esophageal achalasia. Surg Endosc 1997; 11:3–7.PubMedCrossRefGoogle Scholar
  4. Crookes PF, Wilkinson AJ, Johnston GW. Heller’s myotomy with partial fundoplication. Br J Surg 1989;76:98.CrossRefGoogle Scholar
  5. Csendes A, Braghetto I, Henriquez A, et al. Late results of a prospective randomised study comparing forceful dilatation and oephagomyotomy in patients with achalasia. Gut 1989;30:299–304.PubMedCrossRefGoogle Scholar
  6. Ellis FH. Functional disorders of the esophagus. In Zuidema GD, Orringer MB, eds. Shackelford’s Surgery of the Alimentary Tract, 3rd ed. Philadelphia: WB Saunders, 1991;150–156.Google Scholar
  7. Hunter JG, Trus TL, Branum GD, et al. Laparoscopic Heller myotomy and fundoplication for achalasia. Ann Surg 1997;225:655–664.PubMedCrossRefGoogle Scholar
  8. Oddsdottir M. Laparoscopic management of achalasia. Surg Clin North Am 1996;76:451–457.PubMedCrossRefGoogle Scholar
  9. Raiser F, Perdikis G, Hinder RA, et al. Heller myotomy via minimal-access surgery: an evaluation of antireflux procedures. Arch Surg 1996;131:593–597.PubMedCrossRefGoogle Scholar
  10. Swanstrom LL, Pennings J. Laparoscopic esophagomyotomy for achalasia. Surg Endosc 1995;9:286–292.PubMedGoogle Scholar

Copyright information

© Society of American Gastrointestinal Endoscopic Surgeons 1999

Authors and Affiliations

  • Margret Oddsdottir

There are no affiliations available

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