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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.
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]
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 ...
-ectomy : surgical removal (see List of -ectomies). The term 'resection' is also used, especially when referring to a tumor.-opsy : looking at-oscopy : viewing of, normally with a scope-ostomy or -stomy : surgically creating a hole (a new "mouth" or "stoma", from the Greek στόμα (stóma), meaning "body", see List of -ostomies)
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]
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 ...
Gastroenterostomy, anastomosis of gastric cardia to jejunum. A gastroenterostomy is the surgical creation of a connection between the stomach and the jejunum.The operation can sometimes be performed at the same time as a partial gastrectomy (the removal of part of the stomach).