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Transcervical Heller Myotomy Using Flexible Endoscopy
Journal of Gastrointestinal Surgery, 2010Esophageal achalasia is most commonly treated by laparoscopic myotomy. Transesophageal approaches using flexible endoscopy have recently been described. We hypothesized that using techniques and flexible instruments from our NOTES experience through a small cervical incision would be a safer and less traumatic route for esophageal myotomy.
Georg O, Spaun +5 more
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Heller Myotomy versus Heller Myotomy with Dor Fundoplication for Achalasia
2017This chapter provides a summary of the management of patients with achalasia and how the addition of a fundoplication can affect outcomes. The primary question asked is could the addition of a Dor fundoplication to a Heller myotomy decrease the incidence of pathologic gastroesophageal reflux?
Jerald Borgella +2 more
openaire +1 more source
Pneumodilation versus Laparoscopic Heller's Myotomy for Achalasia
New England Journal of Medicine, 2011Leinster
Yong, Yuan +2 more
openaire +4 more sources
Operative Techniques in General Surgery, 2004
Leonardo Villegas, Robert Rege
openaire +2 more sources
Leonardo Villegas, Robert Rege
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Peroral Endoscopic Myotomy (POEM): Feasible as Reoperation Following Heller Myotomy
Journal of Gastrointestinal Surgery, 2014The purpose of this study was to demonstrate the feasibility of performing peroral endoscopic myotomy (POEM) in the management of recurrent achalasia after failed myotomy.Eight patients presented to our institution between October 2010 and June 2013 with recurrent/persistent symptoms after prior laparoscopic Heller myotomy.
Yalini, Vigneswaran +5 more
openaire +2 more sources
Robotic-Assisted Heller Myotomy
2007Laparoscopic Heller myotomy (LHM) has become the standard treatment option for achalasia. Evidence-based medicine has shown surgical treatment to be the most effective option due to the long-term improvement of symptoms following surgery [5, 6, 13, 20–23]. However, other treatment options are still practiced either due to unavailable surgical expertise
Yoav Mintz, Santiago Horgan
openaire +1 more source
Local epinephrine facilitates laparoscopic Heller myotomy
Surgical Endoscopy, 1998Incomplete myotomy and mucosal perforation are the most common technical complications of laparoscopic esophageal myotomy. The muscle layers of the lower esophagus are infiltrated with a 1:100,000 epinephrine solution using a thin needle. Gentle pressure is applied with a peanut sponge to diminish the edema produced by the injections.
openaire +2 more sources

