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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.
Transoral incisionless fundoplication (TIF) is an endoscope treatment designed to relieve symptoms of gastroesophageal reflux disease (GERD). The TIF procedure, similar to Nissen fundoplication , alleviates GERD symptoms by wrapping a portion of the stomach around the esophagus.
In a Nissen fundoplication, also called a complete fundoplication, the fundus is wrapped the entire 360 degrees around the esophagus. In contrast, surgery for achalasia is generally accompanied by either a Dor or Toupet partial fundoplication, which is less likely than a Nissen wrap to aggravate the dysphagia that characterizes achalasia. In a ...
A bland diet allows the digestive tract to heal before introducing foods that are more difficult to digest. A bland diet is designed primarily to help patients recover from gastrointestinal conditions or other medical circumstances in which improved digestion would be essential. [2] It is not especially effective as a long-term weight loss diet ...
Longo recommends following three FMD cycles for a total of 15 diet days, which he says is more achievable for people who may have difficulty changing their eating habits long term. “It doesn’t ...
If a once-daily PPI is only partially effective they may be used twice a day. [43] They should be taken one half to one hour before a meal. [42] There is no significant difference between PPIs. [42] When these medications are used long-term, the lowest effective dose should be taken. [43]