Technique of myotomy in laparoscopic Heller procedure
Epublication WebSurg.com, Jun 2011;11(06). URL: http://websurg.com/doi/vd01en3272
This is the case of a 60-year-old woman with a chief complaint of dysphagia for solids and liquids, regurgitation, and chest pain. An initial diagnosis of achalasia was made in 2007 with the manometry showing a high hypertonic low esophageal sphincter which failed to relax and respond to swallowing. Upper GI series showed a severe dilatation of the esophagus and narrowing at the gastroesophageal junction. An endoscopic dilatation was attempted, but failed. Decision was made to perform a laparoscopic Heller myotomy together with a Dor fundoplication.