scholarly journals Response in Patients with Achalasia after Laparoscopic Heller Myotomy Plus Partial Fundoplication

2021 ◽  
Vol 233 (5) ◽  
pp. e66
Author(s):  
Alfonso I. Sanchez Teran ◽  
Gonzalo M. Torres Villalobos
Keyword(s):  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Partial Fundoplication

Laparoscopic Heller Myotomy and Posterior Partial Fundoplication

2019 ◽  
pp. 53-60
Author(s):  
Timothy M. Farrell ◽  
Marco Di Corpo ◽  
Marco G. Patti
Keyword(s):  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Partial Fundoplication

Long-term results of laparoscopic Heller myotomy with partial fundoplication for the treatment of achalasia

2005 ◽  
Vol 190 (6) ◽  
pp. 883-887 ◽  
Author(s):  
Hugo Bonatti ◽  
Ronald A. Hinder ◽  
Josef Klocker ◽  
Beate Neuhauser ◽  
Alexander Klaus ◽  
...  
Keyword(s):  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Long Term Results ◽  
Partial Fundoplication

scholarly journals The Influence of Operation Technique on Long-Term Results of Achalasia Treatment

Medicina ◽  
2013 ◽  
Vol 49 (2) ◽  
pp. 10
Author(s):  
Mindaugas Kiudelis ◽  
Kristina Mechonosina ◽  
Antanas Mickevičius ◽  
Almantas Maleckas ◽  
Žilvinas Endzinas
Keyword(s):  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Gastric Fundus ◽  
Long Term Results ◽  
Partial Fundoplication ◽  
Laparoscopic Operation ◽  
Study Results ◽  
Group 2 ◽  
Group 1

Currently, the most effective therapy for achalasia is laparoscopic Heller myotomy with partial fundoplication. The aim of this study was to compare the long-term results between 2 different laparoscopic operation techniques in achalasia treatment. Material and Methods. This was a retrospective study, where 46 achalasia patients were examined: 23 patients underwent laparoscopic Heller myotomy followed by the full gastric fundus mobilization, total hiatal dissection, and posterior Toupet (270°) fundoplication (group 1); other 23 patients underwent laparoscopic Heller myotomy with limited surgical cardia region dissection, not dividing the short gastric vessels and performing anterior partial Dor fundoplication (group 2). Long-term findings included the evaluation of postoperative dysphagia according Vantrappen and Hellemans and intensity of heartburn according the standard grading system. Results. The patients in these 2 groups were similar in terms of age, weight, height, and postoperative hospital stay. The median follow-up was 66 months in the group 1 and 39 months in the group 2 (P<0.05). Laparoscopic operation was effective in 82.6% of patients (excellent and good results) in the group 1; treatment was effective in 78.3% of patients in the group 2 (P>0.05). Clinically significant heartburn was documented in 39% of patients in the group 1 and only in 13% of patients in the group 2 (P<0.05). Conclusions. According our study results, both laparoscopic techniques were similarly effective (82.6% vs. 78.3%) in achalasia treatment. Postoperative heartburn was significantly more common (39% vs. 13%) after laparoscopic myotomy, followed by the full gastric fundus mobilization, total hiatal dissection, and posterior Toupet (270°) fundoplication.

scholarly journals Tu1187 ENDOSCOPIC PERORAL MYOTOMY (POEM) VS. LAPAROSCOPIC HELLER MYOTOMY WITH PARTIAL FUNDOPLICATION (MHLF) FOR THE TREATMENT OF ACHALASIA.

2018 ◽  
Vol 87 (6) ◽  
pp. AB560
Author(s):  
Luis R. Valdovinos-Garcia ◽  
Gonzalo Torres-Villalobos ◽  
Guido Grajales-Figueroa ◽  
Enrique Coss-Adame ◽  
Maria C. Rodríguez-Leal ◽  
...  
Keyword(s):  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Partial Fundoplication

scholarly journals 216 – High Resolution Manometry Changes in Patients with Achalasia After Laparoscopic Heller Myotomy with Partial Fundoplication

2019 ◽  
Vol 156 (6) ◽  
pp. S-1387
Author(s):  
Emmanuel Contreras Jiménez ◽  
Enrique Coss-Adame ◽  
Miguel A. Valdovinos ◽  
Janette Furuzawa-Carballeda ◽  
Sofia Narvaez-Chavez ◽  
...  
Keyword(s):  
High Resolution ◽  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Partial Fundoplication ◽  
High Resolution Manometry

Long-Term Outcomes of POEM for Primary Esophageal Motility Disorders

2021 ◽  
Author(s):  
Christine Tat ◽  
Matthew Kroh
Keyword(s):  
Esophageal Motility ◽  
Heller Myotomy ◽  
Symptomatic Relief ◽  
Laparoscopic Heller Myotomy ◽  
Esophageal Motility Disorders ◽  
Antireflux Procedure ◽  
Partial Fundoplication ◽  
Motility Disorders ◽  
Primary Esophageal Motility Disorders

AbstractSince peroral endoscopic myotomy (POEM) emerged in 2010 as a treatment for achalasia, more than 7,000 procedures have been performed in the world. The main indication for POEM continues to be achalasia, which is a rare esophageal motility disorder characterized by impaired lower esophageal sphincter relaxation and aperistalsis. POEM has also been applied in other types of primary esophageal motility disorders. Short-term outcomes indicate that POEM has comparable results to laparoscopic Heller myotomy in terms of efficacy and safety. Studies show decrease in Eckardt scores after POEM as a reflection of symptomatic relief. Now, a decade after its introduction, long-term data have emerged for POEM and demonstrates that POEM remains effective and safe. Both POEM and laparoscopic Heller myotomy are associated with postinterventional gastroesophageal reflux disease (GERD). Antireflux mechanisms are disrupted during the procedures. However, the rate of GERD is higher after POEM than with laparoscopic Heller myotomy. Laparoscopic Heller myotomy is commonly performed with a partial fundoplication to reduce antireflux, but POEM is not typically combined with an antireflux procedure. Further studies should examine the long-term effects of postinterventional GERD.

scholarly journals Long-Term Follow-up Results of Children Undergoing Achalasia Surgery

2021 ◽  
Author(s):  
Kutay Bahadır ◽  
Ergun Ergun ◽  
Anar Jafarov ◽  
Merve Bülbül ◽  
Gülnur Göllü ◽  
...  
Keyword(s):  
Heller Myotomy ◽  
Laparoscopic Heller Myotomy ◽  
Antireflux Procedure ◽  
Partial Fundoplication ◽  
Withdrawal Time ◽  
Average Hospital ◽  
Gold Standard Method ◽  
Study Results ◽  
Long Term Follow Up ◽  
The One

Objective: Achalasia is a disease characterized by lower esophageal sphincter motility disorder. Whereas there is no clear algorithm in treating achalasia in children, Heller myotomy is known to be as the most effective method. Gastroesophageal reflux after myotomy is a frequently reported complication. Therefore, the fundoplication procedure should be added to the myotomy simultaneously. Our study aimed to present the results of patients who underwent Heller myotomy and fundoplication for achalasia. Materails and Methods: Twelve patients who underwent laparoscopic Heller myotomy with the diagnosis of achalasia between the 2006 and 2019 have been included in the study. Results: There were 12 children. 75% of them were male, and 25% were female. Laparoscopic Heller myotomy and antireflux procedure were applied to all patients. The average nasogastric withdrawal time was 1.75 days, the average time to start feeding was 2.25 days. The average hospital stay was 6.75 days. Dysphagia persisted in 3 patients who underwent Dor fundoplication and in 1 patient who underwent Toupet fundoplication at postoperative 3rd-week controls. It was observed that the symptoms improved after the one-time endoscopic dilatation procedure. Conclusion: Heller myotomy is gold standard method in the treatment of achalasia in children.We believe that partial fundoplication added to myotomy reduces the risk of GER.

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