A laparoscopic Heller myotomy is a surgical procedure used to treat achalasia, a condition in which the esophagus doesn't push food and liquid into the stomach effectively and the lower esophageal ...
Laparoscopic Heller myotomy improves swallowing in more than 90% of patients. What causes the relatively few failures reported is still incompletely understood. Typically, a failed Heller myotomy is ...
An endoscope with a transparent cap enters through a 2 cm mucosal incision into the submucosal “third” space, approximately 5 cm proximal to the lower esophageal sphincter. Four distinct tissue layers ...
Achalasia is a chronic oesophageal motility disorder characterised by impaired relaxation of the lower oesophageal sphincter (LOS) and loss of peristalsis. This condition results in progressive ...
At Digestive Disease Week 2022, John M. DeWitt, MD, professor of medicine, Indiana University Health, explains his findings on the diagnosis and management of achalasia in 2022 and how the COVID-19 ...
The extension of the myotomy onto the gastric wall (clearly the most critical and challenging part of the operation) proved difficult because of poor exposure, with the consequent risk of a short ...