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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.
Following a myotomy, patients generally experience improvement in symptoms, though the degree of recovery depends on the underlying condition and surgical approach. For example, after a Heller myotomy, patients often undergo a modified diet and may need follow-up studies such as a barium swallow to ensure effective swallowing.
POEM is a form of natural orifice translumenal endoscopic surgery, or NOTES. Like the traditional surgical myotomy, the procedure is performed under general endotracheal anesthesia. The remainder of the procedure is performed using a flexible endoscope inserted through the mouth, and no cuts are made on the chest or abdomen.
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 ...
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]
What to expect after cataract surgery “Many patients notice significantly clearer vision within 24–48 hours, although full recovery can take a few weeks,” says Dello Russo. Some may have ...
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
Heller myotomy – Muscles of the cardia (lower oesophageal sphincter or LOS) are cut, allowing food and liquids to pass to the stomach; Hymenotomy – Surgical removal or opening of the hymen; Hysterotomy – Incision in the uterus, and is performed during a Caesarean section; Laminotomy – The partial removal (or by making a larger opening ...