We prefer extended
cardiomyotomy (extending 2-3 cm to the gastric wall) with the aim of better and sustained resolution of dysphagia than the traditional
cardiomyotomy (1-1.5 cm).
Surgical management consisted of Heller's cardiomyotomy or oesophagoplasty.
Out of 15 patients, 11 patients were selected for Heller's cardiomyotomy, remaining 4 patients were operated by oesophagoplasty.
But on July 19 she went in to the Infirmary for an operation called a laparoscopic
cardiomyotomy which changed her life.
It was not until many years later in 1913 that a German surgeon, Heller, performed the first cardiomyotomy (5).
Pneumatic dilatation or laparoscopic cardiomyotomy in the management of newly diagnosed idiopathic achalasia.
Objectives: To evaluate relief of dysphagia and appearance of reflux symptoms in patients of achalasia cardia treated with Tran's abdominal
cardiomyotomy and anterior Dor patch.
Munz et al., "Robot-assisted laparoscopic Heller
cardiomyotomy: preliminary UK results," Digestive Surgery, vol.
(2,27,30) Reports following laparoscopic
cardiomyotomy have shown that only preoperative LOS pressure has significant correlation with outcome of treatment.
Because surgeons view the cardia as the sphincter, they often inappropriately utilize the terms "
cardiomyotomy" and "cardioplasty" to describe the surgical techniques that are used for treating, respectively, achalasia and gastroesophageal reflux disease.
All three group 2 patients who had unsatisfactory swallowing underwent Heller's
cardiomyotomy while only one of the five elderly patients with unsatisfactory swallowing had a Heller's
cardiomyotomy.