scholarly journals Laparoscopic Heller’s Myotomy with Dor Wrap versus Pneumatic Dilatation in Treatment of Achalasia: A Prospective Randomized Study

2015 ◽  
Vol 15 (2) ◽  
pp. 251-260
Author(s):  
Gamal Fawzy ◽  
Moheb Shoraby ◽  
Hany Haroun Kaisar
Keyword(s):  
Randomized Study ◽  
Pneumatic Dilatation ◽  
Prospective Randomized Study ◽  
Heller’S Myotomy ◽  
Heller's Myotomy

scholarly journals What to do when Heller's myotomy fails? Pneumatic dilatation, laparoscopic remyotomy or peroral endoscopic myotomy: A systematic review

2018 ◽  
Vol 14 (3) ◽  
pp. 177 ◽  
Author(s):  
ArnulfoF Fernández ◽  
Sonia Fernández-Ananín ◽  
Carmen Balagué ◽  
David Sacoto ◽  
EduardoMaria Targarona
Keyword(s):  
Systematic Review ◽  
Pneumatic Dilatation ◽  
Peroral Endoscopic Myotomy ◽  
Heller’S Myotomy ◽  
Heller's Myotomy ◽  
Endoscopic Myotomy

Sa1232 COMPARISION OF PER-ORAL ENDOSCOPIC MYOTOMY (POEM) OUTCOMES BETWEEN PATIENTS WITH RECURRENT SYMPTOMS AFTER PRIOR PNEUMATIC DILATATION (PD) AND PRIOR LAPAROSCOPIC HELLER'S MYOTOMY (LHM)

2019 ◽  
Vol 89 (6) ◽  
pp. AB179-AB180
Author(s):  
Madhusudhan R. Sanaka ◽  
Malav P. Parikh ◽  
George Khoudari ◽  
Niyati M. Gupta ◽  
Prashanthi N. Thota ◽  
...  
Keyword(s):  
Pneumatic Dilatation ◽  
Heller’S Myotomy ◽  
Per Oral Endoscopic Myotomy ◽  
Heller's Myotomy ◽  
Endoscopic Myotomy ◽  
Per Oral

scholarly journals Optional Management of Achalasia in 2021: Dilatation or Myotomy

2021 ◽  
Vol 12 (02) ◽  
pp. 093-102
Author(s):  
Zaheer Nabi ◽  
Mohan Ramchandani ◽  
D. Nageshwar Reddy
Keyword(s):  
Best Practice ◽  
Prognostic Significance ◽  
Pneumatic Dilatation ◽  
Therapeutic Modality ◽  
Type I ◽  
Partial Fundoplication ◽  
High Resolution Manometry ◽  
Heller’S Myotomy ◽  
Postoperative Reflux ◽  
Heller's Myotomy

AbstractAchalasia cardia is a primary motility disorder of the esophagus, defined by lack of normal esophageal peristalsis along with inadequate relaxation of lower esophageal sphincter . The mainstay of management in achalasia includes pneumatic dilatation, Heller’s myotomy and peroral endoscopic myotomy (POEM). Pneumatic dilatation and Heller’s myotomy have gained maturity over several decades. The current best practice with regard to pneumatic dilatation is graded and on-demand dilatation in appropriately selected cases with type I and II achalasia. Laparoscopic Heller’s myotomy plus partial fundoplication is minimally invasive with reduced postoperative reflux and has virtually replaced open Heller’s myotomy with or without fundoplication. The subtyping of achalasia using high-resolution manometry bears prognostic significance and may help in choosing appropriate therapeutic modality in these patients. Since all the three modalities are effective for type I and II achalasia, the choice among these depends on the availability, expertise, and patient’s preferences. On the other hand, POEM is more effective than pneumatic dilatation and Heller’s myotomy and, therefore, preferred in type III achalasia. Although POEM is effective across the spectrum of esophageal motility disorders, the incidence of gastroesophageal reflux is high and needs to be considered while choosing among various options in these patients. In cases with failed POEM, redo POEM appears to be effective in alleviating symptoms.

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