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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.
There are several types of myotomy procedures: Heller Myotomy: Commonly used for treating achalasia, Heller myotomy involves cutting the muscle layers of the LES. A minimally invasive, laparoscopic approach is preferred, often combined with a partial fundoplication to prevent gastroesophageal reflux (GERD) post-surgery. [1]
It provides excellent results as compared to Nissen's fundoplication, which is associated with higher incidence of postoperative dysphagia. [34] 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.
Heller myotomy: Ernest Heller: Upper gastrointestinal surgery: Procedure in which the lower oesophageal sphincter is cut to allow passage of food into the stomach in patients with achalasia: Heller E (1913). "Extramucose Cardiaplastik beim chronischen Cardiospasmus mit Dilatation des Oesophagus". Mitteil Grenzgeb Med Chir. 27: 141. Homans ...
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
The per-oral endoscopic myotomy, or POEM, is a minimally invasive surgical procedure for the treatment of achalasia wherein the inner circular muscle layer of the lower esophageal sphincter is divided through a submucosal tunnel. [1]
General Hospital just bid goodbye to a major character. During the Friday, Dec. 13 episode, fan-favorite Dex Heller, played by Evan Hofer, met his demise. Dex had been expected to make a full ...
A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via laparoscopic surgery, is a surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatal hernia. In GERD, it is usually performed when medical therapy has failed; but, with a Type II (paraesophageal) hiatus hernia, it is the first-line procedure ...