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Achalasia is a primary esophageal motility disorder with two main characteristics: lack of esophageal peristalsis and partial/absent relaxation of the lower esophageal sphincter in response to swallowing. The laparoscopic Heller myotomy is associated with excellent outcomes and symptomatic relief in the majority of patients. A partial fundoplication is always added to prevent postoperative gastroesophageal reflux. A properly executed operation is critical to obtain successful outcomes.

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Laparoscopic Heller Myotomy

  • 章节

  • 发表日期：

    2026年

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  • Francisco Schlottmann,
  • Sofia Bertona,
  • Mario A. Masrur,
  • Rudolf Buxhoeveden

摘要

Achalasia is a primary esophageal motility disorder with two main characteristics: lack of esophageal peristalsis and partial/absent relaxation of the lower esophageal sphincter in response to swallowing. The laparoscopic Heller myotomy is associated with excellent outcomes and symptomatic relief in the majority of patients. A partial fundoplication is always added to prevent postoperative gastroesophageal reflux. A properly executed operation is critical to obtain successful outcomes.