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Heller myotomy is a surgical procedure [1] in which the muscles of the cardia (lower esophageal sphincter or LES) are cut, allowing food and liquids to pass to the stomach. It is used to treat achalasia , a disorder in which the lower esophageal sphincter fails to relax properly, making it difficult for food and liquids to reach the stomach.
The shortcoming of laparoscopic esophageal myotomy is the need for a fundoplication. On the one hand, the myotomy opens the esophagus, while on the other hand, the fundoplication causes an obstruction. Recent understanding of the gastroesophageal antireflux barrier/valve has shed light on the reason for the occurrence of reflux following myotomy.
Myotomy is a surgical procedure that involves cutting a muscle to relieve constriction, often performed in the gastrointestinal or urological systems. The procedure can alleviate symptoms caused by muscle-related functional obstructions, particularly in cases of achalasia, a disorder that affects the esophagus.
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In people who have no response to medical or endoscopic therapy, surgery can be performed. A Heller myotomy involves an incision to disrupt the LES and the myenteric plexus that innervates it. The Heller myotomy is used as a final treatment option in patients who do not respond to other therapies. [22]
In a recent U.K. survey of more than 4,000 women with endometriosis, 70 percent had to visit their doctor at least five times—with 47 percent having to go 10 times or more—to get an official ...
There can be side effects from supplementation, such as bad-smelling breath and sweat and headaches, as well as digestive issues such as heartburn, nausea or diarrhea, Harvard’s site stated.
Uvulotomy · Myotomy (Heller myotomy · Pyloromyotomy) · Anal sphincterotomy · Lateral internal sphincterotomy: Vertical banded gastroplasty · Gastropexy · Colon resection · Nissen fundoplication · Hernia repair · Omentopexy · Liver biopsy: Urinary: Urethroplasty · Pyeloplasty: Nephrectomy · Cystectomy