Laparoscopic Heller Myotomy and Dor Fundoplication for Esophageal Achalasia: Technique and Perioperative Management

2016 ◽  
Vol 26 (11) ◽  
pp. 916-920 ◽  
Author(s):  
Ciro Andolfi ◽  
P. Marco Fisichella
Keyword(s):  
Heller Myotomy ◽  
Perioperative Management ◽  
Esophageal Achalasia ◽  
Laparoscopic Heller Myotomy ◽  
Dor Fundoplication

Laparoscopic heller myotomy and dor fundoplication for esophageal achalasia in children

2001 ◽  
Vol 36 (8) ◽  
pp. 1248-1251 ◽  
Author(s):  
Marco G. Patti ◽  
Craig T. Albanese ◽  
George W. Holcomb ◽  
Daniela Molena ◽  
Piero M. Fisichella ◽  
...  
Keyword(s):  
Heller Myotomy ◽  
Esophageal Achalasia ◽  
Laparoscopic Heller Myotomy ◽  
Dor Fundoplication

scholarly journals Initial outcomes of laparoscopic Heller-Dor myotomy fundoplication for (esophageal) achalasia at Nghe An Friendship General Hospital

2019 ◽  
Vol 9 (4) ◽  
Author(s):  
Van Huong Nguyen ◽  
Keyword(s):  
Weight Loss ◽  
Sample Size ◽  
Heller Myotomy ◽  
Average Length ◽  
Operation Time ◽  
Esophageal Achalasia ◽  
Laparoscopic Heller Myotomy ◽  
Average Weight ◽  
Dor Fundoplication ◽  
Cross Sectional

Abstract Introduction: The aim of this study is to evaluate the outcomes, feasibility and safety of laparoscopic Heller – Dor method in treatment of esophageal achalasia or achalasia . Material and Methods: it’s a descriptive cross-sectional study. The patients diagnosed an achalasia and underwent laparoscopic Heller myotomy and Dor fundoplication from 2014 to July 2019 enrolled. Results: 12 patients diagnosed an achalasia were operated on by laparoscopic Heller myotomy and Dor fundoplication. Age mean 40.8 ± 4.2 (18 -65), male 58.3% and female 41.7%. 83.3% of patients have dysphagia, mean dysphagia time 12.8 ±5.2 (2-60) months, vomiting: 41.7% and weight loss: 100%, average weight loss was 6.7 ± 5.5 (3-15) kg ???.=> does not make sense ! X-ray with contrast of esophageal revealed bird beak sign: 41.7%, sigmoid form 16.7% normal or slight dilation 41.6%. ?? The average operation time was 138.8 ± 9,4 (77-180) mins. The complication occurred during the surgery (bleeding converted to open surgery). No other complications such as perforation occurred during and after the surgery. The average length of postoperative hospital stay was 7.5 ± 0.5 (5-11) days. Quality of life after surgery was very good and good in 83.3% and average 16.7%. Conclusion: Laparoscopic surgery in treatment of achalasia by Heller – Dor technique was safe and effective, with less postoperative pain, fast recovery and short hospital length stays. Almost patients satisfied with the results of this procedure. However, due to the sample size of this study is small so it is necessary to conduct other studies with larger sample size.

scholarly journals Laparoscopic Heller Myotomy and Dor Fundoplication for the Treatment of Esophageal Achalasia After Sleeve Gastrectomy—a Video Vignette

2020 ◽  
Author(s):  
Alberto Aiolfi ◽  
Diego Foschi ◽  
Marco Antonio Zappa ◽  
Alessandra Dell’Era ◽  
Emilia Bareggi ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Heller Myotomy ◽  
Esophageal Achalasia ◽  
Laparoscopic Heller Myotomy ◽  
Gastric Fundus ◽  
Esophageal Wall ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Dor Fundoplication ◽  
Esophageal Motility Disorder

Abstract Purpose Esophageal dysmotility and disorders of the lower esophageal sphincter are well documented in morbidly obese patients. Esophageal achalasia has been reported in up to 1% of obese patients but the development of such esophageal motility disorder after laparoscopic sleeve gastrectomy (LSG) is extremely rare. The purpose of this video was to demonstrate the management of a type II esophageal achalasia diagnosed in a 46-year-old female patient 4-year after LSG. Materials and Methods An intraoperative video has been anonymized and edited to demonstrate the feasibility of laparoscopic Heller myotomy and anterior Dor fundoplication on the mentioned patient. Results The operation started with the section of the perigastric adhesions. Proceeding in a clockwise direction, the esophagogastric junction, the anterior esophageal wall, and the His angle were freed. A residual slightly dilated fundus was found and isolated. After mobilization of the distal esophagus and identification of the anterior vagus nerve, a “hockey stick” myotomy was carried out for 6 cm on the esophagus and for 2 cm on the gastric side. An anterior Dor fundoplication was fashioned using the residual gastric fundus. Conclusion Esophageal achalasia in patients that previously underwent LSG is exceptional but should always be suspected in case of pathognomonic symptoms onset. In tertiary referral centers, laparoscopic Heller myotomy and, if technically feasible, an anterior Dor fundoplication seem safe and effective to relieve gastroesophageal outflow obstruction and prevent gastroesophageal reflux.

Poem Versus Laparoscopic Heller Myotomy in the Treatment of Esophageal Achalasia: A Case-Control Study from Two High Volume Centers Using the Propensity Score

2019 ◽  
Vol 24 (3) ◽  
pp. 505-515 ◽  
Author(s):  
Andrea Costantini ◽  
Pietro Familiari ◽  
Mario Costantini ◽  
Renato Salvador ◽  
Michele Valmasoni ◽  
...  
Keyword(s):  
Propensity Score ◽  
Heller Myotomy ◽  
Case Control Study ◽  
High Volume ◽  
Esophageal Achalasia ◽  
Case Control ◽  
Laparoscopic Heller Myotomy ◽  
Control Study
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