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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]
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.
After surgery, patients should keep to a soft diet for several weeks to a month, avoiding foods that can aggravate reflux. [33] The most recommended fundoplication to complement Heller myotomy is Dor fundoplication, which consists of a 180- to 200-degree anterior wrap around the esophagus. It provides excellent results as compared to Nissen's ...
The major long term risk after POEM is new or worsened gastroesophageal reflux disease, which arises in 20-46% of patients. [9] This phenomenon is usually mild and manageable with medication alone, and does not occur at a significantly higher rate than in patients undergoing a traditional surgical therapy. [ 10 ]
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
Nutcracker esophagus, jackhammer esophagus, or hypercontractile peristalsis, is a disorder of the movement of the esophagus characterized by contractions in the smooth muscle of the esophagus in a normal sequence but at an excessive amplitude or duration.
With GERD, stomach acid frequently flows back into the esophagus, the tube connecting your mouth and stomach. It can cause heartburn, regurgitation, disease or complications like ulcer in the ...
Pyloromyotomy is a surgical procedure in which a portion of the muscle fibers of the pyloric muscle are cut. This is typically done in cases where the contents from the stomach are inappropriately stopped by the pyloric muscle, causing the stomach contents to build up in the stomach and unable to be appropriately digested.